Roger van Boxtel, CEO Menzis

Washington, april 15th 2008

Financing healthcare in the Netherlands:

experiences and challenges

Menzis

Number of insured 2 million

Annual turnover 7 billion euro = more than 10 billion dollars

Staff 2.500

Corporate image - customer oriented

- Corporate Social Responsibility

- innovative

- not for profit

EMEAEMEA

National Health Service

SPP

Collective

Health care insurance

SupplementarySupplementary

Supplementary

Public

Individual

Before… …and after

Two systems

• Long term health care (EMEA)

• private health insurance for all other care • Level playing field insurers

• Contracting choice

• New health care providers

Durability

Solidarity

Accessibilty

Quality

Efficiency

Healthcare in the Netherlands

6

Sources of financing

premiums (not income-related)

Adjustment-contribution

Risk balancing fund

Insured Insurers

Income-related

Taxes

50%

43%

7%

Macro-expenditure Health care Insurance Law 2008 (30,5 billion)

Financial flows

Risico-Verevenings-

fonds

RiskBalancing fund

Employer

Government

Insured Insurer

Health care provider

50%

5%

45%

Restitutie

Direct (care)Individual payment

Health care surcharge

Current situation

• Long term health care• Hospital health care

• Employers’ contributions• Diagnosis Related Groups

• Quality and transparancy • Customer collectives• Insurers: mergers and takeovers

A positive future

•Waiting lists

•Patient driven (care ánd insurers)

•More transparancy – more quality

Thank you