Exploring Global Health Care Cost Drivers: Israel and the Netherlands
Health care cost growth is a global issue. Regardless of the structure of their systems—public, private, or some combination—countries all over the world have to evaluate and address varying degrees of health care cost growth. Exploring comparative experience with health care cost trends and the drivers of cost increases worldwide was the objective of a 2015 webinar series jointly sponsored by the American Academy of Actuaries’ Health Practice International Task Force and the International Actuarial Association Health Section.
The first webinar in this series provided a unique opportunity to learn about the successes and challenges that both Israel and the Netherlands have experienced as they’ve worked to identify and address particular cost drivers. This webinar was a 90-minute examination and analysis of both countries’ health care systems, with a focus on health care cost trends. Panelists explored some of the following topics for both countries:
- The health care financing system;
- Efforts to address health care costs;
- Unique programs or aspects of the system that could be relevant to other countries;
- Examples of successes and challenges in each of the health care systems;
- Metrics used to measure health outcomes; and
- Anticipated changes and the impact of future health care cost trends.
- Dr. Tuvia Horev, Ph.D., MPH, DMD; associate professor, department of Health Systems Management at the Guilford Glazer Faculty of Business & Management, Ben-Gurion University of the Negev
- Rian De Jonge, AAG (M.Sc.); Academy Health Practice International Task Force
Susan L. Mateja, MAAA, FSA; Chairperson, Academy Health Practice International Task Force
ABOUT OUR GUEST PRESENTERS
Susan L. Mateja,
MAAA, FSA; Chairperson, Academy Health Practice International Task Force
Susan Mateja is an Actuarial Director for Humana Inc., located in Louisville, KY. She is currently working in the corporate area, but has experience in pricing a variety of health plans. She has also co-authored three articles for the Contingencies magazine, and has spoken on risk adjustment at the 2011 Conference of Consulting Actuaries and the 2012 International Actuarial Association Colloquium in Hong Kong. Susan is chair of the Academy’s Health Practice International Task Force.
Rian De Jonge, AAG (M.Sc.); Academy Health Practice International Task Force
Rian de Jonge is a Dutch actuary focusing on Health, including both disability and medical.
He is a professional working at PwC in Amsterdam (NL), advising health insurers with respect to their risk management in general and more specific with respect to reserving, pricing, economic capital and the associated reporting and processes. Rian has been with PwC for 6 years and before that worked for 9 years at an internationally operating Dutch insurance company.
Dr. Tuvia Horev, PhD, MPH, DMD; Associate Professor, department of Health Systems Management at the Guilford Glazer Faculty of Business & Management, Ben-Gurion University of the Negev
Prof. Horev's career combines executive managerial, regulatory and consulting positions in Israel's healthcare system, with solid academic background and profound research activities.
He holds a Master's degree in public health (MPH) in economics and health administration track; Doctor of philosophy (PhD) in health policy & administration; and Dental surgeon (DMD).
Prof. Horev served in senior command duties in Israel's Defense Force (IDF). His latest position was Chief Dental Officer of the IDF.
For the following eleven years he served as senior advisor on health administration to the Director General of one of the four sick funds (HMO) in Israel; during this period he served, simultaneously, as Head of the Health and LTC Insurance Division of this sick fund.
For three years Prof. Horev was full-time senior researcher and deputy director general of the Taub Center for Social Studies Research in Jerusalem.
In 2009 he joined the Ministry of Health and served as Deputy Director General for Economics and Health Insurance. In 2012 Prof. Horev established a new division in the Ministry, and has been appointed as Senior Deputy Director General for Strategic and Economic planning. He served in this capacity until his leaving the Ministry of Health in Nov. 2014. Prof. Horev played a leading role in setting long-term objectives for the Health Ministry, and in carrying out national system-wide policy changes and reforms. He chaired several ministerial and inter-ministerial committees on important national policy issues, and was a member of the inter-ministerial Forum of Senior Deputies for Strategy chaired by the Head of the National Economic Council at Israel's Prime Minister's office.
Prof. Horev is an associate Professor in the department of Health Systems Management at the Guilford Glazer Faculty of Business & Management, Ben-Gurion University of the Negev.
