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This document updates the 2019 Healthcare Spending Review measures and presents a menu of cost-saving and value-based measures that can be incorporated into the general government budget 2023-2025.
The spending review on cultural policy amounting to 0.54% GDP a year will assess the public expenditures in the area of culture, including expenditures of affiliated organisations. The main objective is to assess the efficiency of these expenditures with the emphasis on better overall results.
The spending review will assess the expenditures impacting integration of at-risk-of-poverty-and-social-exclusion groups. It will focus on the efficiency of current protection and integration policies, investigate data collection, outline best practice examples and investigate options for best practice implementation.
Healthcare Spending Review II. seeks to identify the best opportunities for improving patient health by increasing the allocative efficiency of available resources. Emphasis will be placed on finding health-enhancing value measures that can be implemented while further reducing inefficient expenditure. The review will introduce funding based on setting total required healthcare expenditure, while improving the tracking of results and data collection. An increase of health expenditure above the level of inflation will be conditional on demonstrating a positive impact on health outcomes. In addition, the major prerequisites for faster growth are an end to growing hospital indebtedness, a change in the remuneration mechanism of health care workers, prescription limits, and the full functionality of DRG and eHealth. The main outcome for the healthcare sector is to reduce amenable mortality to the level of the average of the other V4 countries (Czech Republic, Hungary and Poland) by 2020 with health expenditure rising at the rate of inflation.
Review of expenditure for labour market and social policies addressed the expenditures amounting to 3.7% GDP a year. The main objective of these policies focuses on the increase in employment rate and the decrease in at-risk-of-poverty rate of population. The review aims to improve the effectiveness of policies, notably in spending on social transfers and insurance, pensions, social services, employment policies, operations and investments of the ministry, its organizations and the Social Insurance Agency, while maintaining spending levels under the 2020 Stability Program. The review has identified potential savings amounting to EUR 160 mil per year, which can be used more effectively to improve employability of jobseekers and to strengthen social inclusion.
The target of the expenditure review on health services has been to identify potential savings, in health care spending in particular, and then using it for efficient and unavoidable investment in bed facilities and to slow down the growth of expenditure at the level of price growth in the economy. The result outcome to be achieved is the reduction of amendable mortality to the average of the V3 countries.
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