The German hospital market GTAI webinar Berlin, 05 March 2015 RA - - PowerPoint PPT Presentation

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The German hospital market GTAI webinar Berlin, 05 March 2015 RA - - PowerPoint PPT Presentation

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The German hospital market GTAI webinar Berlin, 05 March 2015 RA Marc Schreiner, LL.M. Director EU-policies, international affairs, health economics German Hospital Federation (DKG Deutsche Krankenhausgesellschaft e.V.) RA Marc

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RA Marc Schreiner, LL.M.

„The German hospital market“

GTAI webinar Berlin, 05 March 2015

RA Marc Schreiner, LL.M. Director EU-policies, international affairs, health economics German Hospital Federation (DKG – Deutsche Krankenhausgesellschaft e.V.)

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RA Marc Schreiner, LL.M.

German Hospital Federation

  • Representative organ of all German hospitals, no mandatory

membership

  • 28 member organisations (16 hospital federations on state level,

12 association on the federal level on each special type of

  • wnership, e.g. catholic and evangelic churches, universities,

municipalities and counties, private for profit companies, pension funds, etc.)

  • Partner of politicians on national, European and international level
  • Key player in the self-government-system of the German health

care sector (e.g. in the Federal Joint Committee)

  • Development of the German DRG-System
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RA Marc Schreiner, LL.M.

Source: Federal Statistics Agency March 2015

Hospitals owners I

shares of hospital owners 2013 compared to 2012 shares of hospitals (in %)

March 2015 public; 596; 29,9% charity based; 706; 35,4% private; 694; 34,8% 2013

  • 0,8%
  • 1,8%
  • 0,4%
  • 4,0%
  • 2,0%

0,0% 2,0%

public charity based private

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RA Marc Schreiner, LL.M.

Hospitals owners II

Source: Federal Statistics Agency

development – share of hospital owners (share in %, share N)

March 2015

1062 1023 987 972 933 919 890 854 844 825 817 796 780 751 717 677 665 648 630 621 601 596 950 950 949 944 929 919 920 930 912 903 877 856 831 818 803 790 781 769 755 746 719 706 369 381 401 409 407 420 453 468 486 512 527 545 555 570 584 620 637 667 679 678 697 694

0% 20% 40% 60% 80% 100% 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 20122013

private hospitals charity based hospitals public hospitals

29,9% 35,4% 34,8%

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RA Marc Schreiner, LL.M.

Key data I

hospitals, beds, degree of utilisation

Source: Federal Statistics Agency March 2015

(1) (2) (3)

80 90 100 110 2000 2002 2004 2006 2008 2010 2012 2013

Index (Year 2000 = 100)

hospitals (1) beds (2)

  • ccupancy rate (3)
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RA Marc Schreiner, LL.M.

Key data II

  • ccupancy days, number of inpatient

care, length of stay

Source: Federal Statistics Agency March 2015

(1) (2) (3)

70 80 90 100 110 2000 2002 2004 2006 2008 2010 2012 2013

Index (Year 2000 = 100)

  • ccupancy days (1)

cases (2) length of stay (3)

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RA Marc Schreiner, LL.M.

Key data III

summary: development course key data of German hospitals

Source: Federal Statistics Agency March 2015 (6) (1) (3) (5) (4) 40 60 80 100 120 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2013 Index (Year 1991 = 100) beds (1) number of cases (2)

  • ccupancy rate (3)

lenght of stay [days] (4)

  • ccupancy days (5)

hospitals (6)

(2)

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RA Marc Schreiner, LL.M.

SHI-Expenses

SHI – statutory health insurance

allocation (2013) and development of SHI-expenses

Source: BMG March 2015

hospitals 35,1% physicians 16,4% dentists 6,9% pharma 16,5%

  • thers

24,3%

2013 (1) (2) (3) (4) 80 100 120 140 160 2000 2002 2004 2006 2008 2010 2012 2013 Index (year 2000 = 100) inpatient treatment (1) physicians (2) dentists (3) pharmaceutical (4)

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RA Marc Schreiner, LL.M.

PHI-Expenses

PHI – private health insurance

allocation and development of PHI - expenses

March 2015

hospitals 26% physicians 22% dentists 15% pharma 10%

  • thers

27%

2013 (1) (2) (3) (4) 60 100 140 180 2000 2002 2004 2006 2008 2010 20122013 Index (year 2000 = 100) inpatient treatment (1) physicians (2) dentists (3) pharmaceutical (4)

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RA Marc Schreiner, LL.M.

Subsidies granted by states 2012/2013

Source: survey conducted by the hospital working group of the states‘ health authorities March 2015

40 50 60 70 80 90 100 110 120 130 1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012

development of the subsidies (1991 = 100)

West East

2.000 4.000 6.000 8.000 10.000 BW BY BE BB HB HH HE MV Ni NRW RP SL SN ST SH TH

Euro

subsidies per bed - 2013

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RA Marc Schreiner, LL.M.

Hospital staff

development the hospital staffing in full-time equivalents (fte)

Source: Federal Statistics Agency

*excl. non-full-time doctors/dentists and excl. personnel in training institutions

March 2015

(1) (2) (3)

80 90 100 110 120 130 2000 2002 2004 2006 2008 2010 20122013

Index (year 2000 = 100)

Ärzte (1) nichtärztliches Personal (2) Beschäftigte insgesamt (3)

employees altogether (3)

  • thers (2)

doctors (1)

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RA Marc Schreiner, LL.M.

Structure of medical professions 2013

Source: Federal Chambers of Doctors total number of physicians 470,4 active physicians 357,2 without medical activity 113,2 authorities/public bodies 9,6

non conductive physicians 166,1

executive physicians 14,9 inpatient care 181,0

salaried physicians 22,3 private physicians 123,6

primary care 145,9

  • thers

20,7

(numbers in thousand)

March 2015

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RA Marc Schreiner, LL.M. (Eur. Integration)

Facts at a glance

beds: ca. 500.000 public: ca. 220.000 private: ca. 80.000 charity based: ca. 160.000

  • ccupancy rate: 77,3 %
  • ccupancy days: 142 Mio.

length of stay: 7,5 days

hospitals: almost 2.000 public: 596 private: 694 charity based: 706

18,8 Mio. inpatient patients 20 Mio. ambulatory patients income: ca. 86 billion € SHI: 64,2 billion. € PHI: 6,9 billion. € investment: 2,7 billion. € employees: 1,1 Mio. 180.000 doctors 400.000 nurses

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RA Marc Schreiner, LL.M.

Hospitals

On the same legal basis Reimbursement under the same conditions Open to all patients/ Free choice Same working conditions Same quality standards Same admission conditions

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RA Marc Schreiner, LL.M.

German Hospital Federation RA Marc Schreiner, LL.M. Director EU-Policies/International Affairs Health economics Wegelystraße 3 10623 Berlin Phone: +49 (0)30 – 39801 1030 Fax: +49 (0)30 – 39801 3011 Mail: m.schreiner@dkgev.de Internet: www.dkgev.de

Thanks and contacts