What future for supplementary Health Funds? Gianluca Davascio SEB Managing Director MEDICAL TRAVEL: A NEW EUROPEAN CHALLENGE – March, 3 2016

The steady aging of the Italian population is a fact known and constantly growing. The most significant is the acceleration of growth AGEING POPULATION

AGEING POPULATION 52,3% Over 50 years In 2030 more than half of Italians will have more than 50 years with an unsustainable request of costs and services. 52,3% Over 50 years AGEING POPULATION

NOT SELF-SUFFICIENT PEOPLE Already, the amount of not self-sufficient people inadequately supported by the State is high. NOT SELF-SUFFICIENT PEOPLE

In addition, the out of pocket expense among the highest in Europe

OUT OF POCKET Families Out of pocket Public spending 111B 30B Total health expenditure 144B Private spending 33B Insurance 1B Expenditure Financed by the private security 3B Health Fund and Mutual 2B OUT OF POCKET

PREVENTION AND INNOVATIVE HEALTH CARE One possible solution is to foster collaboration between the public and private system by stimulating the development of parties which may aim to increase prevention, access to innovative healthcare, the provision of benefits in direct form, as well alongside the NHS, in order to rebalance the system (even financially). PREVENTION AND INNOVATIVE HEALTH CARE

REGULATORY DEVELOPMENT The Legislature since 1992 had glimpsed the possibility of a different approach to the NHS management through the establishment of Supplementary Health Funds A completion and harmonization of legislation is needed at this point. REGULATORY DEVELOPMENT

COMPLEMENTARY HEALTH COVERS In Italy, there are various cases testifying the value of this approach COMPLEMENTARY HEALTH COVERS

THANK YOU FOR YOUR ATTENTION What future for supplementary health founds? THANK YOU FOR YOUR ATTENTION Gianluca Davascio SEB Managing Director MEDICAL TRAVEL: A NEW EUROPEAN CHALLENGE – March, 3 2016