health care expenditure - circabc.europa.eu · hc hc1.1, hc1.2 hc2.1, hc2.3 hc2.2, hc2.4 hc6.6 hcr1...

Eurostat

Health Care expenditure: information on otheractivities: JHAQ, methodology, links with NA

Item 3.4 of the agenda

Adrian Enache

Paolo Passerini

Aude Rousseaux

Unit F.5

5-6 December 2018 WG Public Health 1

Eurostat

I- 2018 and 2019 JHAQ

2

Eurostat

JHAQ – Joint Health Accounts Questionnaire

• Common effort of EUROSTAT, OECD and WHO

• 12 rounds of JHAQ since 2005• Gentlemen agreement deadline: 31 March

• Commission Regulation (EU) 2015/359 and Commission Implementing Decision (EU) 2015/365• Mandatory for all EU MSs and EEA countries

• Data / Metadata to be submitted

• Deadline: 30 April

• No more derogations for next data collection (end of last ones: March 2019), except for LI

• Electronic submission (eDAMIS)

35-6 December 2018 WG Public Health

Eurostat

2018 JHAQ – Received data


Country

1992 -

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Total

AT x x x x x x x x x x x x x x 14

BE x x x x x x x x x x x x x x 14

BG x x x 3

CH x x x x x x x 7

CY x x 2

CZ x x x x x 5

DE 11 x x x x x x x x x x x x x x x 26

DK x x x x x x x 7

EE x x x x x x x x x x 10

EL x x x x x x x x 8

ES x x x x x x x x x x x x x x 14

FI x x 2

FR x x x x x x x x x x x 11

HR x x x x 4

HU x x x x x x x x x x x 11

IE x x x x x x 6

IS x x x x x x x 7

IT x x x 3

LI x x x x 4

LT x x x x x 5

LU x x x x 4

LV x x 1

MT x 1

NL x x x 2

NO x x x 3

PL x 2

PT x x x 3

RO x x x x x x 6

SE x x x 3

SI x x x x 4

SK x 1

UK 3 x x x x x x x x x x x x x x 17

BA x 1

TR x 1

Total 14 4 5 5 7 7 9 9 11 15 15 17 20 27 34 14 213

Eurostat

2018 JHAQ – Received data

5

EU/EEA EFTA

EU candidates and potential candidates

Commission Regulation

HCxHF 31 1 2

HCxHP 31 1 2

HPxHF 31 1 2

Additional tables

HFxFS 15 1

HPxFP 1

HKxHP 8

Preliminary estimates 201714


Eurostat

2018 JHAQ – Punctuality


Eurostat

2018 JHAQ – Data completeness (CR)

7

Data gaps

HF HF1.1HF1.2/HF1.3HF.3

HF2 (second digit)HF4

HP HP1, HP3-HP8 HP2, HP9

HC HC1.1+HC2.1HC1.3+HC2.3HC1.4+HC2.4HC3.1, HC3.4HC4-HC7

HC1.2+2.2HC3.2, HC3.3


Eurostat

2018 JHAQ – Data completeness (Additional tables)

8

Good coverage Main gaps

HF HF121, HF122 HF3 (2nd digit level)

HP HP1 (2nd digit level)HP3 (2nd digit level)

HP2 (2nd digit level)

HC HC1.1, HC1.2HC2.1, HC2.3

HC2.2, HC2.4HC6.6HCR1


Eurostat

2018 JHAQ – Historical series

9

WGPH 12/2013

DSS meeting 04/2014

=> Historical data for 2011, 2012, 2013

Countries 2011 2012 2013

LT x x x

LU x x x

LV x

MT

NL x x x

PL x

PT x x x

RO x x x

SE x x x

SI

SK x x

UK x

IS x x x

LI x

NO x x x

CH x x x

Countries 2011 2012 2013

AT x x x

BE x x x

BG x x x

CY x x x

CZ x

DE x x x

DK x x x

EE x x x

EL x x x

ES x x x

FI x x x

FR x x x

HR x

HU x x x

IE x x x

IT x x


Eurostat

2018 JHAQ – Dissemination + metadata


Eurostat

2019 JHAQ – Data / metadata

• Mandatory data collection:

According to annex II of Commission Regulation

Deadline: 30 April 2019

• Voluntary reporting:

• Gentlemen agreement deadline: 31 March 2019

• Additional tables (HFxFS, HKxHP, HPxFP)

• Preliminary data t-1


Eurostat

2019 JHAQ – Proposed changes to questionnaire

Data requested by the Regulation: no change

Voluntary reporting (as proposed by OECD in Health WP on October 2018):

HC Remove HC.RI.3 (Prevention and public health services (according to SHA 1.0))

HP Remove HP.8.9 (Other industries n.e.c.)

HF Remove 2nd digit breakdown for HF.4 (Rest of the world schemes)

Remove HF.RI.1-3 (memorandum items relating to institutional units)

FS Remove 2nd digit breakdown for FS.7 (Direct foreign transfers )

Add 2nd digit breakdown for FS.4 (Compulsory prepayment)

Add 2nd digit breakdown for FS.5 (Voluntary prepayment)

Add 2nd digit breakdown for FS.6 (Other domestic revenues n.e.c.)125-6 December 2018 WG Public Health

Eurostat

2019 JHAQ – Timeline

Mid January 2019

2019 JHAQ sent to countries

31 March 2019

Gentlemen's Agreement deadline

30 April 2019 Commission Regulation deadline for return of completed JHAQ

March – November 2019 Data validation performed by IHAT


Eurostat

2019 JHAQ – Validation

Common data validation (OECD, Eurostat, WHO), all correspondence addressed to the 3 organisations.

Commitment of resources from IHAT and the national reporting authorities.


Eurostat

Conclusions

15

The WG PH is invited to take note /give its opinion on :

• the state of play of data and metadata submitted by countries in the framework of the 2018 JHAQ

• the punctuality and data completeness of JHAQ 2018

• Proposals/clarifications for JHAQ 2019.

• THANK YOU


Eurostat

II- Methodology

16

Eurostat

• Methodological presentations during the TG HCE

1. Opting in scheme : a case from Estonia

2. Out-of-pocket payments: recent developments & a case from Malta


Eurostat

1- Opting in scheme : presentation of the case

• 2018 JHAQ validation with Estonia

• “how to classify transactions related to residents who have voluntarily chosen to be covered under the Estonian Health Insurance Fund (EHIF), the national social health insurance scheme”:

• Under "compulsory contributory health insurance schemes" (HF.1.2), and more precisely under "Social health insurance schemes" (HF.1.2.1)

OR

• Under "Voluntary health insurance schemes" (HF.2.1)


Eurostat

• The presentation included a selection of relatedmethodological references

• With three possible options for the treatment.

• The document also included additional elements for discussion that could be used by the Task Force, for the development "Breakdowns of compulsory contributory health insurance schemes/CMSA (HF.1.2/1.3)", now included in the new mandate.

• Estonia completed the description of the case withadditional information.


1- Opting in scheme : Discussion during the TG HCE

Eurostat

1- Opting in scheme: conclusions from the TG

• The TG emphasized the importance to have common guidelines from IHAT

• Members of the TG HCE were asked to providecomments and countries description to be sharedby written procedure by end of January 2019.

• The document and the comments of the TG HCE will be used by the Task Force.

• In the meantime, classification of “opting in” under “voluntary scheme” should be kept by Estonia


Eurostat

2- OOP payments

• Eurostat and OECD presented the developmentson OOP after the 2017 meeting of the TG HCE.

• A recent case from Malta was presented for discussion:

• How to register "contributions" by pensionersliving in government-funded LTC facilities witheldat source from pensions?


Eurostat

2- OOP payments: conclusions fromthe TG

• The TG members that intervened supported thatthe expenditure presented in the case should beclassified under Out-of-Pocket expenditure.

• The TG members were invited to send additionalcomments by end of January 2019.

• The paper and the discussion could be a possible input for the OOP item of the agenda for the nextTF was presented


Eurostat

III- Links between SHA and NA

23

Eurostat

Links between SHA and NA

• The existing methodological framework fordeveloping links between SHA and NA waspresented and discussed

• The main focus will be on sub-aggregates of"current expenditure“

• Participants stressed that the comparisonexercise is itself a source of improvements for thetwo accounting frameworks

• NL will distribute to the TF a publication oncomparability of data between NA andcare/health accounts of the Netherlands


Eurostat


• BE will provide material on a comparison betweenSHA and national accounts, carried out in Belgiumin cooperation with national accountants

• It was suggested that countries establish/strengthen their contacts with NA (health care)experts, in particular those in charge of table 11(COFOG), table 5 (COICOP) and tables 15&16(supply-use) of the ESA 2010 TP


Eurostat

Links between SHA and NAA draft plan for further work was sketched:

• Nov-Dec 2018: development of a template for possible data comparison (Eurostat in cooperationwith TF); Bilateral contacts with TF countries are ongoing

• Jan-March 2019: pilot questionnaire for data comparison by TF countries


Eurostat


- June 2019: analysis of the results by TF and work towards the finalisation of methodology and template;- end 2019: presentation of results (methodology and data comparison) to the TG and WG for comments;- 2020: extension of the data comparison to all the countries and finalisation of the methodology; possible development of a reconciliation table.


Eurostat

Conclusions

• The WG PH has been informed on « otheractivities » in the domain of Health care expenditure and particularly on :

• The 2018 JHAQ results and the 2019 JHAQ arrangements

• The methodological issues discussed during the TG HCE

• The recent developments concerning the links betweenSHA and NA


health care expenditure - circabc.europa.eu · hc hc1.1, hc1.2 hc2.1, hc2.3 hc2.2, hc2.4 hc6.6 hcr1...

Documents