Private Health Public Good: Towards a new coordination between Social security and private health Guillaume Sarkozy Australia November 2010 G. Sarkozy, November 2010 1
MALAKOFF MÉDÉRIC : SOCIAL PROTECTION LEADER, WITH TWO BRANCHES Insurance Pension Health and Benefits N ° 1 N ° 2 in group insurance € 14 bn subsidies € 3,4 bn turnover € 3 bn in own equity 2,7 million retirees 3,6 time solvability margin 204 000 companies 3,2 million employees insured 180 000 companies 6 300 Social Aid employees and €100 M 49 outlets G. Sarkozy, November 2010 2
SUMMARY 1. A changing environment 2. Coordination between private and public 3. In-house healthcare 4. A new social contract G. Sarkozy, November 2010 3
A. A STRONG INCREASE IN PUBLIC DEBT GDP % …WHAT REQUIRES THE SEARCH FOR NEW BALANCE G. Sarkozy, November 2010 4
A. RECURRENT DEFICITS IN THE NATIONAL HEALTH SYSTEM… Source : chiffres clés de la sécurité sociale 2009 … DO WE NEED A NEW MODEL? G. Sarkozy, November 2010 5
A. EVOLUTION OF HEALTH COSTS… 2017 7,7 Due to technology and LTC, senior are expected to spend x 7.7 2008 more than junior in 4,9 5,5 2017. A rapid increase considering it was x 5.5 3,7 in 2008 … 2,1 1,9 1 1 21y - 40y 41y - 60y 61y - 80y >80y Etude Jalma G. Sarkozy, November 2010 6
B. CHANGE IN BEHAVIOR… Need to reduce the personal out-of-pocket expenses Greater demand for higher quality Higher requirement for results and services Individualism, Impatience, Simplicity …CONTRADICTIONS G. Sarkozy, November 2010 7
C. CHANGE IN THE PROVISION OF CARE… CHANGES IN MEDICAL DEMOGRAPHY Doctors in workplace Medical students Only 10 % of - 50% students set up their own practices in 8 years Doctors average age 55 years …WHICH CREATES A NEED FOR MEDICAL DIRECTION G. Sarkozy, November 2010 8
D. NEW MEDICAL SCIENCE… PREVENTION NEW TECHNOLOGY: E-HEALTH GENETICS PERSONALISED MEDICINE PREDICTIVE MEDICINE …THAT IMPACTED THE LIFE G. Sarkozy, November 2010 9
SUMMARY 1. A changing environment 2. Coordination between private and public 3. In-house healthcare 4. A new social contract G. Sarkozy, November 2010 10
2. PUBLIC COORDINATED WITH PRIVATE TO FINANCE HEALTH EXPENSES Public Social security Taxes – Access to care Monopoly Inflation of costs – Reluctance to change Private Insurance 1 Insurance 2 Insurance 3 Insurance N… Competition leads to: Improved efficiency – Cost regulation – change management G. Sarkozy, November 2010 11
2. COORDINATION BETWEEN PRIVATE AND PUBLIC THE WELFARE SYSTEM Today Tomorrow Individual" Out-of-pocket” 9% 10%? Private complementary Insurance 14% 30%? “Out-of-basket” Basket Social security 77% 60%? Basket –Monopoly- Taxes G. Sarkozy, November 2010 12
2. CARPAL TUNNEL SYNDROME TWO MEDICAL TECHNOLOGIES The classic one with a cost of 100 leads to 6 weeks of patient rest and absence at the workplace. The second, a new technology with a cost of 200 leads to 3 days off work for the patient Social security will choose the first approach because of lower cost G. Sarkozy, November 2010 13
2. A TRANSITION FROM REACTIVE INSURANCE TO A PROACTIVE STRATEGY INSURER INTEGRATOR SERVICES PARTNERSHIP Networks labeled PREVENTION (MMS) DETECTION ROAH FRC INFORMATION /ADVICE (ex : quote) HOME ORIENTATION MAINTENANCE ORGANIZATION HOME CARE MSO HEALTH EXPENDITURE MSO : Medicine surgery obstetrics HH Reimbursment HH : Home hospitalisation FRC: follow-up and rehabilitation care Reduction of the Out of ROAH : Retirement and old age homes pocket expense G. Sarkozy, November 2010 14
SUMMARY 1. A changing environment 2. Coordination between private and public 3. In-house healthcare 4. A new social contract G. Sarkozy, November 2010 15
3. IN-HOUSE HEALTHCARE: PRODUCTIVITY AND WELLBEING OF EMPLOYEES Baromètre Sociovision 2010 « Companies need to be more concerned 65 66 with the effect of their actions on the 63 63 61 61 60 environment, 58 social harmony and the personal development of their staff » 39 40 38 37 36 34 33 33 « Companies ought to concentrate solely on their economic role and that of an employer” 07 2009 2000 01 02 03 04 05 06 G. Sarkozy, November 2010 16
3. EMPLOYEES WOULD BE INTERESTED IF THEIR COMPANIES OFFERING THEM SERVICES Taking exercice 62% Better healthcare 61% Preventing sleep difficulties 55% Controlling diet 52% Getting better diagnosis 51% Be better at managing their personal life 40% Get better medical monitoring 38% Receive psychological help in times of stress 28% Study Malakoff Médéric / Sociovision 2010 ... THAT REQUIRES A NEW CORPORATE COMMITMENT G. Sarkozy, November 2010 17
3. SITUATIONS FOR EMPLOYEES OVER 50 YEARS OLD Study Malakoff Médéric / Sociovision 2010 Sight difficulties, even with glasses Hearing difficulties 38% 32% Chronic illness «I feel I shan’t be capable of doing the same job in 10 years’ time” 28% 57% G. Sarkozy, November 2010 18
3. PERSONAL AND PROFESSIONAL WELLBEING ARE LINKED Study Malakoff Médéric / Sociovision 2010 32% of employees suffer from disturbed sleep 33% of employees suffer from a major health risk (diet or lack of physical activity) 34% of employees have personal worries that affect their health and their attendance at work 15% are caring for a dependent or sick person G. Sarkozy, November 2010 19
3. IN-HOUSE HEALTHCARE : PRODUCTIVITY AND WELLBEING OF EMPLOYEES Health Orientation Control and assistance 5 to work resumption E-health Detection 4 E-medicine Prevention and toolkit 3 Metrics and diagnosis 2 1 G. Sarkozy, November 2010 20
SUMMARY 1. A changing environment 2. Coordination between private and public 3. In-house healthcare 4. A new social contract G. Sarkozy, November 2010 21
A NEW SOCIAL IN-HOUSE CONTRACT DUE TO LESS PUBLIC FUNDS AVAILABLE A new equilibrium has to be found between social security and private insurance HEALTHCARE PROVIDERS ARE ALSO FACING AGEING Orientation in the healthcare system and technology will be needed AT THE SAME TIME THERE ARE NEW EXPECTATIONS FROM EMPLOYEES: WELLBEING IN LIFE A corporate commitment is essential Prevention, monitoring, well-being… in search of new productivity A new market for group insurance operators G. Sarkozy, November 2010 22
TO SUMMARIZE … THE MALAKOFF MEDERIC GROUP COMMITMENTS • Protection of our client’s employees and their families, throughout their life Provider of group insurance and supplementary individual insurance packages Help in advising and guiding them within the healthcare system AS WE UNDERWRITE PENSIONS, BENEFITS AND HEALTH RISKS, OUR AMBITION IS TO OFFER A GLOBAL COVERAGE TO OUR CLIENTS G. Sarkozy, November 2010 23
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