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Country report: Germany

In: The Law and Policy of Healthcare Financing

Author

Listed:
  • Katherine Polin
  • Wilm Quentin
  • Victor Stephani
  • Alexander Geissler

Abstract

The German social health care system is the oldest in the world and coined the name of the Bismarck system of social health insurance. Germany’s healthcare system provides universal health coverage for a wide range of benefits, and health insurance has been mandatory for all citizens and permanent residents since 2009 through either statutory of private health insurance (SHI or PHI). In international terms Germany has a generous basket of benefits, one of the highest levels of capacity, and relatively low cost-sharing. In 2017, 89 per cent of the population were covered by one of the SHI’s sickness funds, while 11 per cent were covered by PHI. The introduction of quality improvement measures has started to address issues relating to the quality of care. The division between SHI and PHI remains a challenge for the German healthcare system, leading to inequalities, redundancies and obstacles to coordination.

Suggested Citation

  • Katherine Polin & Wilm Quentin & Victor Stephani & Alexander Geissler, 2019. "Country report: Germany," Chapters, in: Wolf Sauter & Jos Boertjens & Johan van Manen & Misja Mikkers (ed.), The Law and Policy of Healthcare Financing, chapter 13, pages 305-331, Edward Elgar Publishing.
    • Handle: RePEc:elg:eechap:18153_13
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