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GDP, Wages, Employment, and Demography: What drives the Financing of Health Insurance? Factor Analysis of the German Statutory Health Insurance 1996-2016

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  • Neusius, Thomas

Abstract

For the German statutory health insurance (SHI), the development of health spending and of the contribution relevant income is analyzed between 1996 and 2016 with respect to the relevant economic and demographic driving factors. The analysis allows identification and quantification of the main drivers of the contribution rate (CR) being the percentage of income that has to be paid as contribution to SHI. It turns out that the most dominant driver for an increasing CR is the aging of the insureds. Additionally, the growing employment also had a pushing effect on the CR as the number of contribution paying SHI members did not grow in equal measure. Only a moderate contribution can be ascribed to the reduced growth of the contribution relevant income.

Suggested Citation

  • Neusius, Thomas, 2018. "GDP, Wages, Employment, and Demography: What drives the Financing of Health Insurance? Factor Analysis of the German Statutory Health Insurance 1996-2016," wifin Working Paper Series 4/2018, RheinMain University of Applied Sciences, Wiesbaden Institute of Finance and Insurance (wifin).
    • Handle: RePEc:zbw:wifinw:42018
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    References listed on IDEAS

    as
    1. Siegfried Geyer, 2016. "Morbidity compression: a promising and well-established concept?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(7), pages 727-728, September.
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    More about this item

    Keywords

    demography; health insurance; medical inflation; health expenditure;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J11 - Labor and Demographic Economics - - Demographic Economics - - - Demographic Trends, Macroeconomic Effects, and Forecasts
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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