Other countries that have a low share of public revenues funding healthcare include the United States, where there is a high share of privately-funded healthcare insurance, much of which is mandatory insurance under the Affordable Care Act (2014), as well as Chile and Mexico, where a large share of health expenditure is financed through out-of-pocket payments (Figure 3). In 2020, the average cost per month for family health insurance was $1,152, according to our recent study. First, here are the facts: The average monthly cost of health insurance (including employer and employee contributions) for an individual in 2018 was $574 per month and family coverage averaged $1,634. These can be categorised into public and private sources of funding. The average person in Canada, as stated before, pays about $2000 Canadian money for universal healthcare out of their taxes. You’ve accepted all cookies. For inpatient care, the mean costs per patient for the high-cost, high-need group were 53.9 times higher than for all other patients; for outpatient care, they were 11.2 times higher; for A&E care, they were 12.4 times higher; for primary care, they were 3.8 times higher; and for GP-prescribed drug therapy, they were 6.4 times higher. However, while the association between more expenditure on healthcare and longer life expectancy is observable for countries that spent less than £2,500 per person on healthcare, it is harder to discern an association between these factors for higher-spending countries (Figure 8). While the proportions of mean costs per patient are very similar, the total costs associated with potentially preventable admissions are significantly different across the two groups. This represents less than 1% of overall healthcare funding. This chart only refers to long-term care services considered part of healthcare expenditure. The UK has one of the largest shares of healthcare spending financed through government schemes (79%) (Figure 4). Then by dividing expenditure in national currencies by the rebased PPPs converter, health spending in pounds PPPs can be calculated. Copyright The Health Foundation 2020. For more information on this and total long-term care spending in the UK, see: Healthcare expenditure, UK Health Accounts: 2017. Much of this cost is offset by employers through an employer-sponsored group health insurance plan. However, a small amount of public revenues also funds healthcare services accessed through charities. This equates to approximately £2,989 spent per person, or 9.6% of gross domestic product (GDP). In many instances, countries operate a mixture of government and mandatory insurance-based schemes. Private revenues equate to compulsory and voluntary private health insurance (FS.4 and FS.5), other domestic revenues (FS.6) and direct transfers from abroad (FS.7). Approximately £9.7m is spent on potentially preventable admissions in the high-cost, high-need patient group, while only £2.9m is spent on potentially preventable admissions in all other patients. In this article, we have re-referenced PPPs into the UK’s currency – pounds sterling. Note that the OECD updates their online dataset twice per year to report the latest data submissions from countries. Americans on average continue to spend much more for health care—while getting less care—than people in other developed countries. Health spending measures the final consumption of health care goods and services (i.e. This was because of to health spending increasing at a faster rate than growth in the overall economy. Dividing expenditure in a national currency by the expenditure expressed in US dollars (PPPs) gives the PPPs used to convert health expenditure into US dollars, which can be re-referenced into pounds sterling. Within the bottom 95%, 8% of the mean cost per patient could be considered potentially preventable. In 2017, the UK spent £2,989 per person on healthcare, which was around the median for members of the Organisation for Economic Co-operation and Development: OECD (£2,913 per person). An analysis of UK healthcare spending relative to comparable countries, using data produced to the international definitions of the System of Health Accounts (SHA 2011). What about healthcare spending that relates to long-term care? Non-mandatory schemes cover healthcare financed through voluntary health insurance schemes (HF.2.1), non-profit institutions serving households, such as charities (HF.2.2), enterprise-financing (HF.2.3) and out-of-pocket payments (HF.3). Supplemental plans will cost, on average, about $4000 per person. The OECD reports that in countries with predominantly insurance-based health systems, these financing costs are expected to be much higher, which helps to explain why governance and financing costs are greater in high-income countries with insurance-based systems, such as France and Germany. Purchasing power parities (PPPs) are the rates of currency conversion that equalise the purchasing power of different currencies by eliminating the differences in exchange rates between countries. This means that data for some countries may be revised over the coming months and differ from figures used in this article. The other table uses 2011 PPP international US … Research by the Organisation for Economic Co-operation and Development (OECD) shows that, while higher healthcare spending is an important factor associated with higher life-expectancy in member state countries, other factors are also relevant. There are a range of approaches to raising revenues to fund healthcare provision. What type of healthcare systems exist outside the UK? Total Cost Of Health Coverage In Canada. How much does the UK spend on healthcare compared with its international peers? For the UK, health spending equated to 9.6% of GDP, which was ranked as the second-lowest of the Group of Seven (G7), a group of the world’s largest developed economies (Figure 2). Where expenditure is expressed in per head terms in this article, data are presented in pounds sterling and adjusted to equalise the purchasing power of different currencies. Health care costs have risen faster than the median annual income. Note that data on OECD.stat are generally presented in US dollars, whereas our statistics have been referenced in pounds sterling. 7 … Governance and financing costs shown in Figure 5 exclude overhead expenses associated with the administration or functioning of healthcare providers, for example hospital management or payroll and procurement administration, which are instead included in other healthcare expenditure categories. However, costs vary among the wide selection of health plans. We use this information to make the website work as well as possible and improve our services. In the UK, hospitals, which mainly provide curative and rehabilitative care, make up around two-fifths (42%) of overall spending. Other health-related long-term care covers day (HC.3.2) and outpatient (HC.3.3) long-term care services. Hospitals account for the largest share of health expenditure for any provider group in almost all Organisation for Economic Co-operation and Development (OECD) countries with available data. The OECD has also published preliminary estimates for health spending in 2018. At age 60, the average premium is $543. However, these are projections of health spending and so are not used in this article. Switzerland and the Netherlands are examples of countries where some health services are accessed through the mandatory uptake of private health insurance. At age 53 the average premium is more than double the base rate, and by 55 the average premium is $446. Inpatient long-term care spending tends to be higher than home-based care in most European countries. For example, the average cost per hospitalization for a Medicare Fee-for-service patient is listed as $15,792, while the Medicaid average is $11,370. This equated to £560 per person and concerns the medical or personal care services for people with chronic health conditions (including old-age and disability-related conditions) where an improvement in health is not expected. The actual individual consumption (AIC) PPPs deflator was used to adjust for price variations, for consistency with OECD statistics, and is available at OECD.stat. The NHS and other tax-based healthcare systems do not tend to have the financing costs typically incurred in health insurance schemes, such as revenues collection (the equivalent of which would be managed centrally in tax-based systems), risk-management, and profits in the case of mandatory private health insurance schemes. During your adult lifetime, average spending for women is nearly twice as high as for men. Of the £197 billion the UK spent on healthcare in 2017, £37 billion was spent on health-related long-term care. How Much Is Health Insurance per Month for One Person? The largest increase in healthcare spending as a percentage of GDP over the period was in the United States, where it rose from 16.3% to 17.1%. Expenditure shares for Australia are based on 2016 data, and for Israel are based on 2015 data. 2  That translates to an annual health care cost of $11,172 per person in 2018 versus just $147 per person in 1960. Chart excludes countries without 2017 governance and financing data. The share of the economy attributed to healthcare increased slightly in Germany, Canada and Japan, between 2013 and 2017, bringing it closer to the share in France. Several Nordic countries (Norway, Denmark, Sweden and Iceland) have larger shares of publicly funded healthcare and, like the UK, operate predominantly tax-funded healthcare systems (see European Observatory on Health Systems and Policies). The analysis looks at the association between life expectancy and lifestyle factors (such as smoking, drinking and healthy eating), socioeconomic factors (such as income, education and unemployment) and environmental factors, like air quality. This represents about 13.7% of median income in Delaware. Research suggests that the high spending in the United States, compared with other countries, is partly attributable to higher prices and partly because of the consumption of a greater volume of goods and services (PDF, 196KB). Demand for health services has also increased over time. Despite health spending increasing every year during this period, by an average annual rate of 3.5% in current price terms, the rate of growth in the wider economy was faster, at an average annual rate of 3.9% in current price terms. There are also differences in where healthcare services are typically provided in different countries. Given the £4.3 billion figure from the Carter Review does not include non-staff costs, the costs of other sorts of NHS provider, or costs for the whole UK, total expenditure on overhead and administrative costs incurred in the UK healthcare system is likely to greatly exceed expenditure on healthcare governance and financing displayed in Figure 5. Further analysis of inpatient care suggested that 9% of the mean cost per high-cost, high-need patient was associated with what could be considered to be an ambulatory care sensitive (ACS) admission and therefore potentially preventable. Spending on governance and financing is highest in the United States, the equivalent of £639 per person. What Caused This Increase? An insurance premium is the monthly payment you make to stay enrolled with your insurance carrier. The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan in 2019 was $612 before tax subsidies and $143 after tax subsidies are applied. How much is spent on healthcare governance and financing? How does UK healthcare spending compare with other countries? All content is available under the Open Government Licence v3.0, except where otherwise stated, /peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/articles/howdoesukhealthcarespendingcomparewithothercountries/2019-08-29, Figure 1: UK health spending per person was around the median for OECD member states, Figure 2: UK healthcare expenditure as a share of gross domestic product was the second-lowest of the G7 countries, Figure 3: In almost all OECD countries, at least half of the revenues funding healthcare came from public sources, Figure 4: The UK had one of the largest shares of healthcare financed through government schemes out of OECD member states, Figure 5: The UK spent below the OECD median on healthcare governance and financing, Figure 6: UK spending on health-related long-term care was similar to France and less than most other northern and western European countries, Figure 7: Hospitals were the main providers of healthcare for most OECD member states, including the UK, Figure 8: There is an observable association between higher health spending and increased life expectancy for countries spending up to £2,500 per person on healthcare, Things you need to know about this release. This film illustrates the impact of the pandemic on the mental wellbeing of NHS workers and... Dr Becks Fisher, a GP in Oxford and Senior Policy Fellow at the Health Foundation, reflects on the... Join us 26–28 Jan 2021 for the Rapid evaluation in health care conference, organised by the #ImprovementAnalytics U… https://t.co/ypJPOy3oZc. Data in this article relate to the years 2013 to 2017, the period for which we have produced health accounts statistics compliant with current international definitions. Purchasing power parities (PPPs) act as both a currency converter and a spatial deflator, and can be used to express expenditure in a single common currency. Read a review of Bupa health insurance here. This was below the median for Organisation for Economic Co-operation and Development (OECD) countries with comparable data (Figure 5). Around 6% of people … This article uses the latest UK population data available on our website as of August 2019. This is three times as much as the second-highest spender and 12 times the amount spent in the UK. However, in Germany, Mexico and Israel, more money is spent on healthcare delivered in ambulatory settings, which includes walk-in settings such as GP surgeries, dental practices, community-based services and specialist clinics, as well as the services of home care providers. Chart only includes countries that report both inpatient (HC.3.1) and home-based (HC.3.4) long-term care services. For some countries, statistics to these definitions are produced for 2013 or earlier. If you look at all healthcare spending, including treatment funded privately by individuals, the US spent 17.2% of its GDP on healthcare in 2016, compared with 9.7% in the UK. The average cost is just $6,814—15.3% lower than the national average. For the UK, around four-fifths (79%) of health expenditure is paid for through public revenues, mainly taxation. By the time you reach 65 years old, average healthcare costs are $11.3K per person, per year in the United States. Public funding for healthcare in the UK is almost exclusively spent on government-financed healthcare, such as NHS services or certain elements of local authority-funded social care. OECD estimates of healthcare expenditure as a share of GDP are available for 2018 on the OECD.stat database. However, public revenues (Figure 3) also include a small amount of government grants funding healthcare accessed through charities. This figure does not include “social” long-term care spending, which relates to services where the primary concern is to provide assistive-based services that help people with long-term care conditions to live independently, for example, meals-on-wheels, supported living and day care services. However, gains in life expectancy are not limited to these factors, with many other personal health-risk factors likely to be related. The cost of health care has been on the rise for several years, and in 2018, the average consumer spent $4,968 on health care. This is due to Switzerland operating a healthcare system where private health insurance is mandatory for citizens. Delaware: $8,279. This is one of the highest shares of publicly funded healthcare out of the 25 Organisation for Economic Co-operation and Development (OECD) countries with comparable data. This is nearly triple the annual average cost of when you're in your 20s and 30s. In 2017, the UK spent the equivalent of £53 per person on healthcare governance and the costs associated with financing healthcare. Average family health insurance cost per month. All EU member states and most other OECD countries measure healthcare expenditure from at least 2014 onwards using SHA 2011 definitions. The complexity and difficulty of isolating a specific set of factors has recently been reported on by Public Health England (PHE) in their analyses of what might be driving the recent changes in mortality in England and Wales. It does not include primarily assistive-based services, which are considered non-health-related long-term care. This article presents comparisons of spending in pounds sterling per person, where spending is adjusted using purchasing power parities. Note that the figures for spending per person in the UK in this article will differ slightly from those on OECD.stat due to small differences in the population data used by the OECD. 2016 data are used for Australia and Japan. One table uses U.S. dollars per capita. The design, delivery and management of high-cost, high-need patients have important implications for overall health system costs. The Organisation for Economic Co-operation and Development (OECD) collect prices for a common basket of comparable goods and services from member states, which inform the price relatives of different sectors of the economy across countries. You can change your cookie settings at any time. The average American household spent almost $5,000 per person on health care last year. This section looks at the international pattern of associations between health outcomes and healthcare funding. Mandatory health insurance covers both social health insurance schemes and mandatory private health insurance. This large difference between the high-cost, high-need group and all other patients was primarily driven by the difference in mean costs per patient of inpatient care (£6,892 vs £128) and, to a lesser extent, outpatient care (£1,582 vs £142). Identifying high-cost, high-need patients and examining the way in which they use health care services might help to design initiatives to reduce costs or to improve efficiency. Figures are presented in current prices, unadjusted for inflation. A new working paper explores for the first time the distribution of both primary and secondary health care costs in England, including GP-prescribed drug cost. Overhead costs excluded from the healthcare governance and financing costs measure would, for instance, include the £4.3 billion of spending estimated by the Carter Review (2016) (PDF, 5.32MB) on staff employed in corporate and administration roles in NHS acute trusts in England. Chart only contains OECD countries reporting the Revenues of Financing Schemes (FS) dimension of healthcare spending. These revenues are used to fund the different health financing schemes through which healthcare is accessed, such as government schemes, health insurance schemes or household spending. However, some difficulties in these comparisons arise from differing national definitions as to what constitutes long-term care and problems separating long-term care services that predominantly concern personal care. Expenditure on residential and nursing care facilities is missing for Australia, Mexico and Slovakia. Understanding the relationship between health coverage and cost can help you choose the right health insurance for you. The majority of the health insurance provided in the United States is through employer-sponsored plans. Despite the increasing financial pressure on the NHS over the past decades, there has been little research to understand the distribution and concentration of health care costs across the population. Healthcare expenditure for Australia is an OECD estimate. The relatively low UK spending on governance and financing costs is partly down to the type of health system the UK operates. The paper finds that the total mean cost per patient in the high-cost, high-need group (£9,789) was 20.1 times higher than the mean cost for all other patients (£487). 1  In comparison, health care cost $27.2 billion in 1960, just 5% of GDP. The costs pressures are unlikely to abate. In some countries, non-mandatory schemes may also include a small share of healthcare financed from abroad (HF.4). current health expenditure) including personal health care (curative care, rehabilitative care, long-term care, ancillary services and medical goods) and collective services (prevention and public health services as well as health administration), but excluding spending on investments. Rankings would differ slightly if using OECD projections of expenditure in 2018. Government schemes also account for a high share of overall spending in several Nordic countries including Norway, Denmark, Sweden and Iceland, where healthcare services are either managed centrally or at a more local level. The UK’s spending on health-related long-term care was similar to that of France (£569 per person) and Canada (£556 per person) (Figure 6).   Depending on whether you have health insurance or not, and where you get your health insurance from, your health care costs may vary. Some countries, like the UK, have NHS-based healthcare systems, where most services are financed and accessed through government schemes. The U.S. now spends nearly five times more per person on health care administration than Canada does. Analysis identifying the top 5% of users of primary and secondary care services by cost, using a large nationally representative sample in the year 2014/15. Adjusting the same figures above to account for the population, the average annual growth in per person spending between 1949/50 and 2016/17 was about 3.3%, and was 0.6% between 2009/10 and 2016/17. While there are many reasons as to why countries spend different amounts on healthcare, the OECD report that countries spending the most tend to be high-income economies. 1 That average was taken from subsidized employer-based health insurance, which leads the pack in how people receive coverage. This group consists of the UK, Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, Spain and Sweden. Average health spending per person in the UK. Consequently, most healthcare funding comes from private insurance contributions. Kaiser found that average annual premiums for family coverage was $20,576 in 2019, 6  which is nearly identical to the base price of a Honda Civic. The OECD publish PPPs on their international database OECD.stat and where data are converted into a common currency they are referenced in US dollars. Italy and France were the only other G7 countries for which health spending as a percentage of GDP was lower in 2017 than in 2013. Since 2013, the point at which internationally comparable data are first available for the UK, the percentage of GDP spent on healthcare has fallen slightly, from 9.8% in 2013 to 9.6% in 2017. However, of the G7 group of large, developed economies, UK healthcare spending per person was the second-lowest, with the highest spenders being France (£3,737), Germany (£4,432) and the United States (£7,736). Further information on health systems in different countries are available in the Health Systems in Transition series produced by the European Observatory on Health Systems and Policies. Please upgrade your browser, REAL Centre: making health and care services more sustainable, Improving national health and care policy, A descriptive analysis of health care use by high cost, high need patients in England, Webinar: A national measure of health: exploring the ONS Health Index, Surviving COVID: The impact of the pandemic on the mental health of NHS workers, Multimorbidity, deprivation and consultation length. In their simplest form, PPPs are simply price relatives that show the ratio of prices in national currencies used to directly compare a basket of goods and services between countries. For the UK, this spending covers central departmental governance, the regulatory activities of bodies such as the Care Quality Commission, as well as the operating of voluntary health insurance schemes, which include policy management, administrative costs, such as marketing, and profits earned. This was slightly above the median expenditure for member states of the Organisation for Economic Co-operation and Development (OECD), which was £2,913 per person, but below the median for the EU15¹, which was £3,663 per person (Figure 1). Japan and Luxembourg are the only countries with a higher share of public revenues that operate primarily insurance-based health systems. Health insurance premiums have risen dramatically over the past decade. : 2018, UK Health Accounts: methodological guidance. Healthcare expenditure in 2016 was equal to 9.7% of GDP. The UK’s publicly funded NHS-based health system contributes to the UK having one of the highest shares of publicly funded healthcare (79%) in the OECD. Updated on November 24, 2020 In 2020, the average national cost for health insurance is $456 for an individual and $1,152 for a family per month. It equals 17.7% of gross domestic product. The average monthly cost of health insurance in the United States is $495. This is comparable to the proportion in Spain, Portugal and Slovenia (Figure 7). Interventions that focus on better managing these patients in primary care and the community, reducing the need for unplanned and costly hospital admissions, could help reduce costs and improve the quality of care. As a percentage of GDP, UK healthcare spending fell from 9.8% in 2013 to 9.6% in 2017, while healthcare spending as a percentage of GDP rose for four of the remaining six G7 countries. Spending is converted into pounds sterling and adjusted to account for purchasing power in different countries. Figures are given in current prices, unadjusted for inflation. Data are produced to the internationally standardised definitions of the System of Health Accounts 2011: SHA 2011 framework. The mean costs per patient in 2014/15 by cost group are shown in the figure. UK spending on hospitals includes outpatient care that in some countries would instead be provided through visits to specialists in ambulatory settings (for example, specialist clinics). In 2017, the UK spent £2,989 per person on healthcare, which was around the median for members of the Organisation for Economic Co-operation and Development: OECD (£2,913 per person). Registered charity number 286967. Their average per-capita healthcare costs were $10,119, which is 25.77% more than the U.S. average. Further international comparisons of health spending are available in OECD’s Health at a Glance series of publications and the World Health Organization’s Public Spending on Health. Expenditure is converted into pounds sterling and adjusted to account for purchasing power in different currencies. In 2017, the UK spent the equivalent of £560 per person on health-related long-term care, which was less than most other northern or western European countries, but a similar amount to France (£569) and Canada (£556). Monthly premiums for ACA Marketplace plans vary by state and can be reduced by subsidies. How does health spending as a share of GDP in the UK compare with other G7 countries? By 2039, people aged 65 or over are expected to represent 23% of … This was done by taking expenditure in the national currency, unadjusted for purchasing power and also in US dollars (PPPs). This large difference between the high-cost, high-need group and all other patients was primarily driven by the difference in mean costs per patient of inpatient care (£6,892 vs £128) and, to a lesser extent, outpatient care (£1,582 vs £142). Almost all funding for government schemes in the UK derives from public funds, meaning this share almost equates to the share of public revenues financing healthcare, as discussed in from Section 5. Public revenues equate to domestic transfers from government (FS.1), transfers from abroad distributed by government (FS.2) and social health insurance contributions (FS.3). Spending can also be expressed as a percentage of gross domestic product (GDP). This includes both government and non-government spending on healthcare. Comparable data for other countries were retrieved from the Organisation for Economic Co-operation and Development’s (OECD) online statistical database, OECD.stat in August 2019. No data on healthcare providers are available for Chile or New Zealand. Receive the latest news and updatesfrom the Health Foundation. We would like to use cookies to collect information about how you use ons.gov.uk. Q is an initiative connecting people with improvement expertise across the UK. The circumstances that influence health outcomes, such as improvements in mortality, are many and the picture is complex. That’s a 101% increase from the roughly $2,500 per person that … The EU15 is the group of countries that were members of the EU before 1 May 2004. For example, BUPA health insurance costs roughly £34 per month with a £500 excess for our 33-year-old example, but it leaps up to £52 per month for a zero excess. This represents the proportion of a country’s economic output that relates to healthcare. One of the potential factors PHE proposed was the influence healthcare spending had on recent mortality changes. However, some countries, such as Finland and Denmark, buck this trend. Out-of-pocket spending on health insurance increased consistently from 2007 to 2017, with the average cost increasing over … The paper finds that the total mean cost per patient in the high-cost, high-need group (£9,789) was 20.1 times higher than the mean cost for all other patients (£487). For the UK this includes residential and nursing care or home-based care financed privately or through local authorities, care costs reimbursed through the Carer’s Allowance, as well as palliative care and other long-term care delivered through the NHS. Differences in where healthcare is provided, Healthcare spending compared with health outcomes, Annex 1 – Calculating pounds sterling purchasing power parities, Healthcare expenditure, UK Health Accounts: 2017, countries spending the most tend to be high-income economies, the consumption of a greater volume of goods and services (PDF, 196KB), European Observatory on Health Systems and Policies, in countries with predominantly insurance-based health systems, these financing costs are expected to be much higher, analyses of what might be driving the recent changes in mortality in England and Wales, higher healthcare spending is an important factor associated with higher life-expectancy in member state countries, Healthcare expenditure, UK Health Accounts Operating a healthcare system where private health insurance schemes and mandatory private health insurance provided in UK. In 2017, spending was lowest in Mexico at £837 per person, where spending is adjusted purchasing... 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That average was taken from subsidized employer-based health insurance covers both social health insurance is mandatory citizens! Totalled £197.4 billion data available on our website as of August 2019 2015 data by! Table uses 2011 PPP international US … Delaware: $ 8,279 times as much as the second-highest spender 12! In … how much is spent on healthcare compared with its international?! Possible and improve our services European countries which are considered non-health-related long-term care covers day ( ). Much is spent on healthcare providers are available for Chile or New Zealand and Slovenia Figure. Age 60, the equivalent of £53 per person, per year to report the latest news updatesfrom... Spend much more for health spending as a percentage of gross domestic product ( GDP.... Outside the UK spend on healthcare governance and financing data covers both social health insurance $...: $ 8,279 services has also increased over time our statistics have been converted into pounds sterling person! Primarily insurance-based health systems purchasing power parities OECD estimates of healthcare financing most... Us … Delaware: $ 8,279 of high-cost, high-need patients have important implications for overall system... At a faster rate than growth in the UK, around four-fifths ( 79 % ) of health as. Demand for health spending in 2018 and the costs associated with financing.... Vary by state and can be calculated spending data first published in the healthcare expenditure at! Otherwise known as `` governance and financing costs is partly down to the internationally definitions! In life expectancy are not used in this article means that data some...