Dr. Reiner Brettenthaler Presidential Officer Austrian Medical Chamber ZEVA MEETING KRAKOW 29 September – 1 October 2011 ZEVA Meeting – Krakow 20111

P ROFESSIONAL STRUCTURE OF MEDICAL DOCTORS ZEVA Meeting – Krakow D OCTORS IN TRAINING Undergoing training in general medical practice or specialist training D OCTORS IN TRAINING Undergoing training in general medical practice or specialist training G ENERAL PRACTITIONERS Self-employed GPs Employed GPs (in hospitals) G ENERAL PRACTITIONERS Self-employed GPs Employed GPs (in hospitals) S PECIALISTS Self-employed specialists Employed specialists (in hospitals) S PECIALISTS Self-employed specialists Employed specialists (in hospitals)

C URRENT NUMBER OF MEDICAL DOCTORS ( PER SEPTEMBER 8 TH 2011)  Total number of MDs:  Self-employed MDs:  General practitioners:  Medical specialists:  Employed MDs: ZEVA Meeting – Krakow 20113

S OCIAL INSURANCE IN A USTRIA  Statutory social insurance  Access to services is regulated by law (General Social Insurance Act)  99% of the population is protected  Patients can choose family physician  Free access to most other forms of medical care (no gate-keeping function) ZEVA Meeting – Krakow 20114

O RGANISATION OF THE A USTRIAN SOCIAL INSURANCE SYSTEM gr ZEVA Meeting – Krakow BRANCHES OF A USTRIAN SOCIAL INSURANCE Health insurance Accident insurance Pension insurance 3 BRANCHES OF A USTRIAN SOCIAL INSURANCE Health insurance Accident insurance Pension insurance 22 INSURANCE INSTITUTIONS 15 health insurance funds 7 insurance institutions 22 INSURANCE INSTITUTIONS 15 health insurance funds 7 insurance institutions

6ZEVA Meeting – Krakow 2011 Source: …..

H AUPTVERBAND  Main association of Austrian Social insurance institutions  Umbrella organization  Preservation of general interests of social insurance  Representation of insurance companies regarding common affairs 7ZEVA Meeting – Krakow 2011

F INANCING OF THE SOCIAL INSURANCE Contributions - have to be paid by the insured (employers/employees) Basis for calculation: income earned by insured (up to certain income threshold). 8ZEVA Meeting – Krakow 2011 Contribution rate TotalEmployeesEmployers Health insurance7,65%3,82%3,83% Accident insurance1,40%0,00%1,40% Pension insurance22,80%10,25%12,55%

C O - PAYMENTS  Provisions of remedies: 10%, (€ 28 minimum)  Spectacles/contact lenses  E-card service-fee: € 10/year  Prescription charge: € 5,10 (per package)  Accommodation/cost fee hospital: € 10,91/day  Cost for health resorts and rehabilitation: € 0 - € 17, according to gross income ZEVA Meeting – Krakow 20119

F INANCING AND EXPENDITURE  Combination of contributions, public income (taxes) and private payments (direct & indirect co-payments)  Outpatient care: social health insurance funds  In-patient care: public sector & social insurance  Increases in health expenditure in the last years In 2009, total health care expenditure amounted to around EUR 30.3 billion, which is 11.3% of gross domestic product. ZEVA Meeting – Krakow

Total expenditure on health by function, 2009* ZEVA Meeting – Krakow Source: OECD, latest available data

T HANK YOU FOR YOUR ATTENTION ! ZEVA Meeting – Krakow