Health Spending in Japan [electronic resource] : Macro-Fiscal Implications and Reform Options / Masahiro Nozaki.

By: Nozaki, MasahiroContributor(s): Kashiwase, Kenichiro | Nozaki, Masahiro | Saito, IkuoMaterial type: TextTextSeries: IMF Working Papers; Working Paper ; No. 14/142Publication details: Washington, D.C. : International Monetary Fund, 2015Description: 1 online resource (39 p.)ISBN: 1498365272 :ISSN: 1018-5941Subject(s): Budget Caps | Capita Health Spending | General | Health Care | Health Insurance | Long-Term Care | JapanAdditional physical formats: Print Version:: Health Spending in Japan : Macro-Fiscal Implications and Reform OptionsOnline resources: IMF e-Library | IMF Book Store Abstract: Health spending has risen rapidly in Japan. We find two-thirds of the spending increase over 1990-2011 resulted from ageing, and the rest from excess cost growth. The spending level will rise further: ageing alone will raise it by 3 1/2 percentage points of GDP over 2010-30, and excess cost growth at the rate observed over 1990-2011 will lead to an additional increase of 2-3 percentage points of GDP. This will require a sizable increase in government transfers. Japan can introduce micro- and macro-reforms to contain health spending, and financing options should be designed to enhance equity.
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Health spending has risen rapidly in Japan. We find two-thirds of the spending increase over 1990-2011 resulted from ageing, and the rest from excess cost growth. The spending level will rise further: ageing alone will raise it by 3 1/2 percentage points of GDP over 2010-30, and excess cost growth at the rate observed over 1990-2011 will lead to an additional increase of 2-3 percentage points of GDP. This will require a sizable increase in government transfers. Japan can introduce micro- and macro-reforms to contain health spending, and financing options should be designed to enhance equity.

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