Table of Contents:
  • The problem of sustainability. Distinguishing economic and fiscal sustainability ; Addressing the fiscal sustainability problem ; Health care expenditure in context
  • Health care financing in the European Union. Frameworks for analysis ; Descriptive analysis of financing arrangements
  • Health care financing reforms : options, trends and impact. Maximizing collection and changing the mix of contribution mechanisms ; Addressing fragmented pooling ; Expanding entitlement to public coverage and defining benefits ; From passive reimbursement to strategic purchasing of health services
  • Conclusions and policy recommendations. Which reforms are most likely to enhance sustainability? ; Is there an optimal method of financing health care? Policy recommendations
  • Annex : summaries of health care financing by member state.