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Kapitaldeckung in der Gesetzlichen Krankenversicherung: zur Berechnung der finanziellen Auswirkungen eines Umstiegs vom Umlage auf das Kapitaldeckungssystem

  • Markus M. Grabka
  • Hanfried H. Andersen
  • Klaus-Dirk Henke
  • Katja Borchardt

This paper presents the financial effects of a transition from the pay-as-you-go to a capital funded health insurance system in Germany. The focus of the following article will be on the financial need in different settings which are given by the difference of the spending for health care and the insurance contributions with an upper limit of 15% of the underlying assessment basis. Calculations made with a static microsimulation model based on the data of the German Socio Economic Panel Study (SOEP). In diesem Beitrag werden die fiskalischen Belastungen eines Umstiegs vom bestehenden Umlageverfahren zu einem kapitalgedeckten System in der Gesetzlichen Krankenversicherung (GKV) dargestellt. Mit Hilfe eines statischen Mikrosimulationsmodells, auf Basis der Daten des sozio-oekonomischen Panels (SOEP), werden die Transferzahlungen berechnet, die - unter Zugrundelegung unterschiedlicher Annahmen - in einzelnen Übergangsszenarien anfallen. Ziel ist es, den Betrag zu quantifizieren, der sich aus der Differenz der Leistungsausgaben und den Beitragseinnahmen unter Berücksichtigung einer Belastungsobergrenze von 15% der Bemessungsgrundlage ergibt. Als Grundlage für einen Krankenversicherungsbeitrag mit Kapitaldeckung wird hierbei auf Kalkulationen einer Privaten Krankenversicherung zurückgegriffen. Es wird gezeigt, wie hoch das Transfervolumen wäre, um einen Übergang in die kapitalgedeckte Krankenversicherung in der GKV zu realisieren.

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Paper provided by DIW Berlin, German Institute for Economic Research in its series Discussion Papers of DIW Berlin with number 275.

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Length: 20 p.
Date of creation: 2002
Handle: RePEc:diw:diwwpp:dp275
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  1. Börsch-Supan, Axel & Winter, Joachim, 2000. "Soziale Sicherungssysteme im globalen Wettbewerb," Discussion Papers 592, Institut fuer Volkswirtschaftslehre und Statistik, Abteilung fuer Volkswirtschaftslehre.
  2. Wolfgang Buchholz & Birgit Edener & Markus Grabka & Klaus-Dirk Henke & Monika Huber & Hermann Ribhegge & Andreas Ryll & Hans-Jürgen Wagener & Gert G. Wagner, 2001. "Wettbewerb aller Krankenversicherungen kann Qualität verbessern und Kosten des Gesundheitswesens senken," Discussion Papers of DIW Berlin 247, DIW Berlin, German Institute for Economic Research.
  3. Carletti, Elena, 2000. "Soziale Sicherung: Herausforderungen an der Jahrhundertwende," Sonderforschungsbereich 504 Publications 00-44, Sonderforschungsbereich 504, Universität Mannheim;Sonderforschungsbereich 504, University of Mannheim.
  4. Börsch-Supan, Axel, 1998. "Zur deutschen Diskussion eines Übergangs vom Umlage- zum Kapitaldeckungsverfahren in der Gesetzlichen Rentenversicherung," Sonderforschungsbereich 504 Publications 98-41, Sonderforschungsbereich 504, Universität Mannheim;Sonderforschungsbereich 504, University of Mannheim.
  5. Cassel, Dieter, 2001. "Demographischer Wandel - Folgen für die gesetzliche Krankenversicherung," Wirtschaftsdienst – Zeitschrift für Wirtschaftspolitik (1949 - 2007), ZBW – German National Library of Economics / Leibniz Information Centre for Economics, vol. 81(2), pages 87-91.
  6. Gary Burtless, 2000. "Social Security Privatization and Financial Market Risk: Lessons from U.S. Financial History," Discussion Papers of DIW Berlin 211, DIW Berlin, German Institute for Economic Research.
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