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Gesetzliche Krankenversicherung: Pause beim Ausgabenanstieg durch Alterung

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  • Boysen-Hogrefe, Jens

Abstract

Der Autor stellt fest, dass die gute Finanzlage der Gesetzlichen Krankenversicherung (GKV) zwar vornehmlich, aber wohl nicht nur von der Einnahmeseite geprägt ist. Die Ausgaben der GKV sind in den vergangenen 20 Jahren wegen der Alterung der Versicherten merklich gestiegen, wie in dem Beitrag durch eine Zerlegung des Ausgabenanstiegs in Komponenten gezeigt wird. Allerdings haben andere Faktoren einen noch größeren Einfluss. So kam in den Jahren 2016 und 2017 der alterungsbedingte Anstieg der Pro-Kopf-Ausgaben zum Erliegen. Maßgeblich für die Abschwächung sind Zuwanderung und die derzeitige Altersschichtung. Der Autor zieht die Schlussfolgerung, dass die aktuell hohen Rücklagen der Krankenversicherungen nicht in eine Ausweitung der Leistungen umgemünzt werden sollten, da ein Wegfall der derzeit günstigen Umstände für Einnahmen und Ausgaben absehbar ist.

Suggested Citation

  • Boysen-Hogrefe, Jens, 2019. "Gesetzliche Krankenversicherung: Pause beim Ausgabenanstieg durch Alterung," Kiel Policy Brief 121, Kiel Institute for the World Economy (IfW Kiel).
  • Handle: RePEc:zbw:ifwkpb:121
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    References listed on IDEAS

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    1. Boysen-Hogrefe, Jens, 2012. "Das demographische Zwischenhoch," Kiel Insight 2012.7, Kiel Institute for the World Economy (IfW Kiel).
    2. Boss, Alfred, 2018. "Die Finanzen der Bundesagentur für Arbeit: Rückblick und Ausblick," Kiel Policy Brief 119, Kiel Institute for the World Economy (IfW Kiel).
    3. Werding, Martin, 2014. "Demographischer Wandel und öffentliche Finanzen: Langfrist-Projektionen 2014-2060 unter besonderer Berücksichtigung des Rentenreform-Pakets der Bundesregierung," Working Papers 01/2014, German Council of Economic Experts / Sachverständigenrat zur Begutachtung der gesamtwirtschaftlichen Entwicklung.
    4. Andreas Werblow & Stefan Felder & Peter Zweifel, 2007. "Population ageing and health care expenditure: a school of ‘red herrings’?," Health Economics, John Wiley & Sons, Ltd., vol. 16(10), pages 1109-1126, October.
    5. Felder, Stefan & Werblow, Andreas & Zweifel, Peter, 2010. "Do red herrings swim in circles? Controlling for the endogeneity of time to death," Journal of Health Economics, Elsevier, vol. 29(2), pages 205-212, March.
    6. Breyer Friedrich, 2015. "Demographischer Wandel und Gesundheitsausgaben: Theorie, Empirie und Politikimplikationen," Perspektiven der Wirtschaftspolitik, De Gruyter, vol. 16(3), pages 215-230, October.
    7. Boysen-Hogrefe, Jens, 2015. "Steigende Zusatzbeiträge in der Gesetzlichen Krankenversicherung: Eintagsfliege oder Dauerbrenner?," Kiel Policy Brief 98, Kiel Institute for the World Economy (IfW Kiel).
    8. Friedrich Breyer & Normann Lorenz & Thomas Niebel, 2015. "Health care expenditures and longevity: is there a Eubie Blake effect?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(1), pages 95-112, January.
    9. Office of Health Economics, 2007. "The Economics of Health Care," For School 001490, Office of Health Economics.
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    Cited by:

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    2. Bahnsen, Lewe & Wild, Frank, 2021. "Bürgerversicherung oder Finanzausgleich? Keine Lösungen für die demografischen Herausforderungen in der Pflege," WIP-Kurzanalysen Oktober 2021, WIP – Wissenschaftliches Institut der PKV, Köln.

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    Keywords

    Demografie; GKV; Ausgabenprofile; Gesundheitsausgaben;
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