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Office for Official Publications of the European Communities

"In 2006, the ECOFIN Council gave the Economic Policy Committee (EPC) a mandate to update its common exercise of age-related expenditure projections by the autumn of 2009 on the basis of a new population projection by Eurostat.

The projections of all expenditure items are made on the basis of common macroeconomic assumptions endorsed by the EPC and of a 'no policy change' assumption, i.e. reflecting only already enacted legislation. The report presents the expenditure projections covering pensions, health care, long-term care, education and unemployment transfers for all Member States.

The report is structured in two parts. The first describes the assumptions underlying the population projection, the labour force projection and the other macroeconomic assumptions. The second part presents the projection of expenditure on pensions, health care, long-term care, education and unemployment transfers. A statistical annex gives a country-by-country overview of the main assumptions and results."
"In 2006, the ECOFIN Council gave the Economic Policy Committee (EPC) a mandate to update its common exercise of age-related expenditure projections by the autumn of 2009 on the basis of a new population projection by Eurostat.

The projections of all expenditure items are made on the basis of common macroeconomic assumptions endorsed by the EPC and of a 'no policy change' assumption, i.e. reflecting only already enacted legislation. The report ...

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International Social Security Review - vol. 63 n° 3-4 -

International Social Security Review

"This article focuses on the Russian Federation's demographic crisis and the implications it holds for the ability of the Russian government (or the Russian people through their own efforts) to generate enough funds to provide a reasonable level of old-age economic security. Although Russia's overall population profile structure stands to be broadly similar to that of other more-developed societies, both today and in coming decades, the challenges of providing for an ageing population are far more acute for Russia than for typical Member States of the Organisation for Economic Co-operation and Development. One factor that adds significantly to the problem is that working-age Russians today suffer substantially worse health and higher mortality than residents of other countries at similar — and indeed even at much lower — levels of income. Although the arguments presented focus on pensions, the same factors that will make it difficult to supply adequate pensions also mean that other aspects of social protection will be similarly difficult to fulfil. Successful social security policy for Russia, consequently, will depend upon much more than social programmes alone: it will require the reduction of mortality rates for working-age individuals, the revitalization of higher education, and fundamental reform of the country's institutions and economic policies."
"This article focuses on the Russian Federation's demographic crisis and the implications it holds for the ability of the Russian government (or the Russian people through their own efforts) to generate enough funds to provide a reasonable level of old-age economic security. Although Russia's overall population profile structure stands to be broadly similar to that of other more-developed societies, both today and in coming decades, the ...

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Publications Office of the European Union

"This report analyses the drivers of health expenditure across EU Member States looking at the organisational features of health systems. It identifies main challenges in the context of rising demand and constrained resources enhanced by the recent economic crisis. It also identifies good practices that may lead to greater cost-effectiveness in the health system.

This Joint EPC/EC Report aims to understand the drivers of health expenditure and therefore expenditure differences across EU Member States. It does so by looking not just at demographic influences, as past reports by the EPC/EC have done, but going beyond that and looking at organisational features of health systems. Understanding what may explain the performance of countries' health systems can help find the right policies to strengthen the financial sustainability, access and quality of health services in a rapidly ageing world. Rising demand and constrained resources enhanced by the recent economic crisis makes cost-effectiveness one of the most important goals in this area. Cost-effectiveness is crucial if countries are to ensure universal access and equity in health, health financing and utilisation.

As a result of the wide analysis of the strengths and weaknesses of the health systems in the EU, the report points to several policy challenges facing health systems across the EU. These need to be addressed resolutely in the coming years. The report also identifies a number of good practices that may lead to greater cost-effectiveness of health systems (i.e. getting more value for money out of the resources allocated to the sector) no matter what future burden demographic developments may hold.

A comprehensive annex details national health systems in the EU through 27 individual country fiches. Each fiche describes in detail the system in terms of recent and future expenditure trends and institutional features (financing and delivery of services). Finally, main country challenges are identified."
"This report analyses the drivers of health expenditure across EU Member States looking at the organisational features of health systems. It identifies main challenges in the context of rising demand and constrained resources enhanced by the recent economic crisis. It also identifies good practices that may lead to greater cost-effectiveness in the health system.

This Joint EPC/EC Report aims to understand the drivers of health expenditure and ...

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Publications Office of the European Union

"This is the fifth report with long-term projections of the budgetary impact of population ageing. It covers the 28 EU Member States and Norway over the period 2013–2060

Over the coming decades, as Europeans live longer and have fewer children, Europe's population will turn increasingly ‘grey'. Demographic trends also mean that the proportion of workers supporting those in retirement will halve from an average of four today, to just two, by 2060. The 2015 Ageing Report sheds light on the economic, budgetary and societal challenges that policy makers will have to face in the future as a result of these trends. The report's long-term projections provide an indication of the timing and scale of challenges that can be expected so as to inform European policy makers about the scale and timing of the challenges they must face."
"This is the fifth report with long-term projections of the budgetary impact of population ageing. It covers the 28 EU Member States and Norway over the period 2013–2060

Over the coming decades, as Europeans live longer and have fewer children, Europe's population will turn increasingly ‘grey'. Demographic trends also mean that the proportion of workers supporting those in retirement will halve from an average of four today, to just two, by ...

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Publications Office of the European Union

"In 2012, the ECOFIN Council asked the Economic Policy Committee (EPC) to update its age-related expenditure projections by the autumn of 2014, to take into account new population projections by Eurostat.

The long-term, age-related expenditure projections provide an indication of the timing and scale of the potential economic effects to be expected as Europe's populations age. The projections show where (in which countries), when, and to what extent ageing pressures will accelerate as the baby-boom generation retires and average life spans in the EU increase. Hence, the updated projections of age-related expenditure and the associated sustainability assessments will provide insight on both the economic impact of ageing and the risks to the long-term sustainability of Member States' public finances.

This report, the first of two, describes the underlying macroeconomic assumptions and projection methodologies for all Member States.

A second report, to be presented to the ECOFIN Council in May 2015, will draw on this analysis to calculate the age-related expenditures associated with pensions, health care, long-term care, education and unemployment transfers."
"In 2012, the ECOFIN Council asked the Economic Policy Committee (EPC) to update its age-related expenditure projections by the autumn of 2014, to take into account new population projections by Eurostat.

The long-term, age-related expenditure projections provide an indication of the timing and scale of the potential economic effects to be expected as Europe's populations age. The projections show where (in which countries), when, and to what ...

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OECD Publishing

"This seventh edition of Health at a Glance provides the latest comparable data on different aspects of the performance of health systems in OECD countries. It provides striking evidence of large variations across countries in the costs, activities and results of health systems. Key indicators provide information on health status, the determinants of health, health care activities and health expenditure and financing in OECD countries. Each indicator in the book is presented in a user-friendly format, consisting of charts illustrating variations across countries and over time, brief descriptive analyses highlighting the major findings conveyed by the data, and a methodological box on the definition of the indicator and any limitations in data comparability."
"This seventh edition of Health at a Glance provides the latest comparable data on different aspects of the performance of health systems in OECD countries. It provides striking evidence of large variations across countries in the costs, activities and results of health systems. Key indicators provide information on health status, the determinants of health, health care activities and health expenditure and financing in OECD countries. Each ...

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Publications Office of the European Union

"This report details the underlying assumptions and projection methodologies to estimate the economic and budgetary impact of an ageing population over the long-term.
In 2010, the ECOFIN Council gave the Economic Policy Committee (EPC) a mandate to update its common exercise of age-related expenditure projections by the autumn of 2012 on the basis of a new population projection by Eurostat. The long-term age-related expenditure projections provide an indication of the timing and scale of changes in economic developments that could result from an ageing population in a ‘no-policy change' scenario. The projections show where (in which countries), when, and to what extent ageing pressures will accelerate as the baby-boom generation retires and average life span in the EU continues to increase. Hence, the updated projections of age-related expenditure and the associated sustainability assessments will provide important insights on both the economic impact of ageing and the risks to the long-term sustainability of Member States' public finances reflecting new economic environment, affected by a durable impact of the current crisis, and further reform effort by EU MS. This first report provides a description of underlying macroeconomic assumptions and projection methodologies of the age-related expenditure projections for all Member States. On the basis of these underlying assumptions and methodologies, age-related expenditures covering pensions, health care, long-term care, education and unemployment transfers will be calculated and presented to the ECOFIN Council in May 2012."
"This report details the underlying assumptions and projection methodologies to estimate the economic and budgetary impact of an ageing population over the long-term.
In 2010, the ECOFIN Council gave the Economic Policy Committee (EPC) a mandate to update its common exercise of age-related expenditure projections by the autumn of 2012 on the basis of a new population projection by Eurostat. The long-term age-related expenditure projections ...

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South-East Europe Review for labour and social affairs : SEER - vol. 11 n° 2 -

South-East Europe Review for labour and social affairs : SEER

"This article explores the major challenges to the sustainability of health sector financing in the countries of the western Balkans - Albania, Bosnia and Herzegovina, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia and the province of Kosovo. It focuses on how the incentives created by the different elements of the healthcare financing system affect the behaviour of healthcare providers and individuals, and the resulting inefficiencies in revenue collection and expenditure containment. The article analyses patterns of healthcare expenditure, finding that there is some evidence of cost containment, but that current expenditure levels - while similar to that in EU countries as a share of GDP - are low in per capita terms while the fiscal space to increase expenditures is extremely limited. It also examines the key drivers of current health care expenditure and the most significant barriers to revenue generation, identifying some key health reforms that countries in the sub-region could consider in order to enhance the efficiency and sustainability of their health systems. Data are drawn from international databases, country institutions and household surveys."
"This article explores the major challenges to the sustainability of health sector financing in the countries of the western Balkans - Albania, Bosnia and Herzegovina, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia and the province of Kosovo. It focuses on how the incentives created by the different elements of the healthcare financing system affect the behaviour of healthcare providers and individuals, and the resulting ...

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