Ministerstvo Financ ESK REPUBLIKY: OECD Recommendations on Healthcare Financing
"Explore the OECD recommendations on financing healthcare in the Czech Republic as outlined by the Ministry of Finance. Learn about strategies to increase cost-efficient consumption, broaden revenue sources, introduce behavioral taxes, and redefine self-employed contributions. Stay informed on the government's stance on taxation policies and revenue balance goals."
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Presentation Transcript
Ministerstvo financ ESK REPUBLIKY MF approach: OECD recommendation on financing healthcare Ing. Jakub Haas, Head of the Healthcare and Public Health Insurance Unit The Ministry of Finance of the Czech Republic Ministerstvo financ esk republiky, Letensk 15, 118 10 Praha 1, +420 257 041 111
Ministerstvo financ ESK REPUBLIKY 2 OECD recommendation I Increasing and broadening co-payments can promote cost-efficient consumption of health care. There is room for reintroducing a better designed system of co-payments in the Czech Republic. Programme Declaration of the Cabinet: we will not increase co-payments 12.06.2025
Ministerstvo financ ESK REPUBLIKY 3 OECD recommendation II Revenues from general taxation for the health care sector should be broadened. One way is to set a contribution rates on all kind of revenues (capital and property income for instance), not only on wages, and therefore ensure that all revenues are contributing to health. Programme Declaration of the Cabinet: we will not increase tax burden 12.06.2025
Ministerstvo financ ESK REPUBLIKY 4 OECD recommendation III In addition, taxes with potential behavioural effects that reduce the need for spending on health care and add to overall revenues could be introduced or increased. Programme Declaration of the Cabinet: our aim is to lower administration costs for both taxpayers and tax authorities 12.06.2025
Ministerstvo financ ESK REPUBLIKY 5 OECD recommendation IV Contributions by the self-employed could be increased gradually the basis of self-employed contributions should be better defined to reflect their real contribution capacity. Programme Declaration of the Cabinet: we allow deduction of public insurance from PIT base 12.06.2025
Ministerstvo financ ESK REPUBLIKY 6 Tax revenue (% GDP) 12.06.2025
Ministerstvo financ ESK REPUBLIKY 7 OECD recommendation V In addition to increasing state contributions, alternative solutions to rebalance revenues are needed, addressing both the cyclicality and diminishing revenues from economically active people due to population ageing. Government contributions should be linked more tightly to health spending to cover economically inactive people. 12.06.2025
Ministerstvo financ ESK REPUBLIKY 8 The state budget transfer to HIFs (bill.CZK) 12.06.2025
Ministerstvo financ ESK REPUBLIKY 9 The state budget transfer to HIFs (% of total expenditure) 12.06.2025
Ministerstvo financ ESK REPUBLIKY 10 The state budget transfer to HIFs (% of GDP) 12.06.2025
