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Metadata (SHA 2011)

Country USA

Respondent

To be returned:
By: 3/31/2018
To: OECD SHA.Contact@oecd.org
Eurostat ESTAT-SHA@ec.europa.eu
WHO NHA@who.int

General remarks and metadata concerning the tables

Please clearly mark any changes made through the use


of different coloured text, shading or highlighting.
I. Data source
Please provide information on the data sources used to compile the three core tables (HCxHF, HCxHP, HPxHF) a
I.1. Administrative and statistical data sources

Source name Brief description of source Type of data source


(e.g. coverage, reference year, etc)

Example: Statistics of Annual records on activity and spending financed by


Public administrative records
National Health Insurance NHI; coverage 100% of all activity of NHI

Public administrative records

Surveys/censuses

Other

Please provide further information on the SHA variables


- that are covered by the above listed data sources but can only be reported by applying estimation method
- that are not available from the above listed data sources but are included in the health accounts via a spec
I.2. Estimation methods
SHA variable(s) Main method Brief description of methodology
(see comment box for definitions)

Total revenue of LTC facilities (HP2) providing inpatient LTC (H


Example: HP2xHF3 …
Balancing item/Residual method spending for HC31 is estimated subtracting all inpatient LTC fin
splitting HC31/HC33
subtracted.

All Balancing item/Residual method see our Definitons Sources and Methodology paper. https://ww

All Interpolation/Extrapolation see our Definitons Sources and Methodology paper. https://ww

All Other see our Definitons Sources and Methodology paper. https://ww

All Pro-rating/Utilisation key see our Definitons Sources and Methodology paper. https://ww
I. Data sources and estimation methods
ables (HCxHF, HCxHP, HPxHF) as well as the additional tables (HFxFS, HPxFP, HKxHP).

Time period Timeliness Frequency


(Number of months (e.g monthly,
Primary SHA variable(s) using this data source covered by this
after the end of the quarterly, annual,
data source accounting period) irregular)

HF.1.2 (financing all HC (except HC.3 and HC.1.3.2) provided


2003-2013 11 months Annual
by all HP (except HP.2 and HP.3.2))

see our Definitons Sources and Methodology paper.


https://www.cms.gov/Research-Statistics-Data-and-
Systems/Statistics-Trends-and-
Reports/NationalHealthExpendData/Downloads/DSM-16.pdf
for a full description of data sources

see our Definitons Sources and Methodology paper.


https://www.cms.gov/Research-Statistics-Data-and-
Systems/Statistics-Trends-and-
Reports/NationalHealthExpendData/Downloads/DSM-16.pdf
for a full description of data sources

see our Definitons Sources and Methodology paper.


https://www.cms.gov/Research-Statistics-Data-and-
Systems/Statistics-Trends-and-
Reports/NationalHealthExpendData/Downloads/DSM-16.pdf
for a full description of data sources

by applying estimation methods, adjustments, corrections or distributions to the original sources.


n the health accounts via a special estimation method.

of methodology

facilities (HP2) providing inpatient LTC (HC31) and outpatient LTC (HC33) is based on official LTC statistics which are available every 3 years; The split into HC31 and H
estimated subtracting all inpatient LTC financing included in administrative records. HF2/HP2/HC33 is calculated as residual. For missing years the total revenues is ext

ources and Methodology paper. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/DSM

ources and Methodology paper. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/DSM

ources and Methodology paper. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/DSM

ources and Methodology paper. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/DSM


Processing
(e.g. brief description of any adjustments, correction or distribution applied to
the original data sources)

Contains 80 SHA-relevant spending items; 60 can be attributed to a single


HC and single HP; other 20 items are distributed to more than one HC
and/or HP using distribution keys

y 3 years; The split into HC31 and HC33 is done via expert estimation. Out-of-pocket
ssing years the total revenues is extrapolated and actual spending of other sources

HealthExpendData/Downloads/DSM-16.pdf

HealthExpendData/Downloads/DSM-16.pdf

HealthExpendData/Downloads/DSM-16.pdf

HealthExpendData/Downloads/DSM-16.pdf
II. Data comparability

Please indicate if health expenditure and financing data are based on SHA 2011, SHA 1.0 or other non-SHA sour
II.1. Historical information
SHA 2011 based accounts

From 1987
To 2016

Do the reported data pertain to the calendar year (1 January to 31 December) or a financial/fiscal year (which dif
II.2. Accounting period
Accounting period

Calendar year (from 1/1 to 31/12)

Please provide a brief description of the items indicated as atypical entries in the submitted data files.
II.3. Atypical entries
Year(s) Atypical entry

Example:
HC.2.3xHP.6
2006-2013

1960-2016 HP.0

1960-2016 HF.0

Please list all the breaks in time series (resulting from methodological changes) you are aware of.
II.4. Breaks in time series
Year Items affected by the break

Example:
HC.3 and HCR.1 financed by all HF, CHE
2010

Example:
HC.1.3.1, HC.1.3.3
2004

2014-2016 HF1.2.2 Compulsory private insurance schemes


Are you aware of any other issues know to affect the overall comparability of data (e.g. capital formation include
medical costs for non-residents, items known to be overestimated/underestimated, etc)?
II.5. Other comparability issues
II. Data comparability

g data are based on SHA 2011, SHA 1.0 or other non-SHA sources.

Other non-SHA sources (e.g. national health


SHA 1.0 based accounts
expenditure accounts, national accounts, etc)
1970 1970
2016 2016

1 January to 31 December) or a financial/fiscal year (which differs from the calendar year)?

From (if Financial/fiscal year) To (if Financial/fiscal year)

cated as atypical entries in the submitted data files.

Explanations

This refers to providers that are predominantely providing preventive care but in some cases they also provide outpatient rehabilitative
care.

This category contains our Other Health Residential and Personal Care estimates. The other health, residential, and personal care
category includes spending for worksite
health care, Medicaid home and community based waivers, some ambulance services, residential mental
health and substance abuse facilities, and other types of health care.

This category contains our Other Personal source of fund. The most common source of other private revenues is philanthropy. For
institutions such
as hospitals, nursing homes and HHAs, other private funds also include income from the operation of gift
shops, cafeterias, parking lots, educational programs, and investment income.

rom methodological changes) you are aware of.

Explanations

With the switch to SHA 2011 in 2010 the methodology for splitting LTC into LTC (health) and LTC (social) has been revised. As a result,
expenditure has been shifted from LTC (social) to LTC (health) affecting increasing the level of HC.3 and therefore current health
expenditure (CHE) and decreasing the level of HCR.1.

OCED reporting requirements the

For this period due to the implementation of the Affordable Care Act and individual mandate was in effect. To consistent with USA
reported private insurance in HF1.2.2. This reporting differs from the USA definition of private health insurance.
he overall comparability of data (e.g. capital formation included in current health expenditure, inclusion of
e overestimated/underestimated, etc)?
III. Current state of implementing the
For each of the HF, HC and HP categories listed below, please indicate if there are any deviations from SHA definitions or missing dat
health accounts complies with the definitions and classification at hand, nothing needs the be filled in:

Deviation from SHA definition: Select this item if a category is reported in your health accounts but differs from the definitions provided
nature of the deviation in the "Explanations" column, including a general description of the deviation, information whether the deviation
(e.g. for 2005-2010, cost-sharing with compulsory insurance schemes is reported under HF.1, this refers to all functions and providers

Category does not exist: Select this item if a category does not exist in your health system (e.g. when there is no HF.1.2 Compulsory c
"Explanations" column.

Missing (data not available): Select this item if a category exists in your health system but it is not reported in your health accounts be
health system, but an estimate is missing due to a lack of data sources). Any further clarification should be provided in the "Explanatio

Partially missing (data is partially not available): Select this item if a category is not fully reported in your health accounts. In the "Expla
2014-2015, expenditure for HC.3.3xHF.3 is not reported or is partially reported).

Missing (category reported elsewhere): Select this item if a category is not reported but it is included with another category in your hea
care). Please explain in the "Explanations" column where in your health accounts the category is included. Any further clarification sho

III.1. Current state of ICHA-HF implementation

ICHA-HF Code Description

Government schemes and compulsory contributory health care


HF.1
financing schemes

HF.1.1 Government schemes

HF.1.2/1.3 Compulsory contributory health insurance schemes/CMSA

HF.1.2.1 Social health insurance schemes

HF.1.2.2 Compulsory private insurance schemes

HF.1.3 Compulsory Medical Savings Accounts (CMSA)

HF.2 Voluntary health care payment schemes

HF.2.1 Voluntary health insurance schemes

HF.2.2 NPISH financing schemes

HF.2.3 Enterprise financing schemes

HF.3 Household out-of-pocket payment

HF.3.1 Out-of-pocket excluding cost-sharing


HF.3.2 Cost-sharing with third-party payers

HF.4 Rest of the world financing schemes (non-resident)

HF.4.1 Compulsory schemes (non-resident)

HF.4.2 Voluntary schemes (non-resident)

III.2. Current state of ICHA-HC implementation

ICHA-HC Code Description

HC.1 Curative care

HC.1.1 Inpatient curative care

HC.1.2 Day curative care

HC.1.3 Outpatient curative care

HC.1.3.1 General outpatient curative care

HC.1.3.2 Dental outpatient curative care

HC.1.3.3 Specialised outpatient curative care

HC.1.3.9 All other outpatient curative care

HC.1.4 Home-based curative care

HC.2 Rehabilitative care

HC.2.1 Inpatient rehabilitative care

HC.2.2 Day rehabilitative care

HC.2.3 Outpatient rehabilitative care

HC.2.4 Home-based rehabilitative care

HC.3 Long-term care (health)


HC.3.1 Inpatient long-term care (health)

HC.3.2 Day long-term care (health)

HC.3.3 Outpatient long-term care (health)

HC.3.4 Home-based long-term care (health)

HC.4 Ancillary services (non-specified by function)

HC.4.1 Laboratory services

HC.4.2 Imaging services

HC.4.3 Patient transportation

HC.5 Medical goods (non-specified by function)

HC.5.1 Pharmaceuticals and other medical non durable goods

HC.5.1.1 Prescribed medicines

HC.5.1.2 Over-the-counter medicines

HC.5.1.3 Other medical non-durable goods

HC.5.2 Therapeutic appliances and other medical durable goods

HC.6 Preventive care

HC.6.1 Information, education and counseling programmes

HC.6.2 Immunisation programmes

HC.6.3 Early disease detection programmes

HC.6.4 Healthy condition monitoring programmes

HC.6.5 Epidemiological surveillance and risk and disease control

HC.6.6 Preparing for disaster and emergency response programmes


HC.7 Governance and health system and financing administration

HC.7.1 Governance and health system administration

HC.7.2 Administration of health financing

Reporting items:

HC.RI.1 Total pharmaceutical expenditure (TPE)

HC.RI.2 Traditional, Complementary and Alternative Medicines (TCAM)

HC.RI.3 Prevention and public health services (According to SHA 1.0)

Health care related items:

HCR.1 Long-term care (Social)

HCR.2 Health promotion with multisectoral approach

III.3. Current state of ICHA-HP implementation

ICHA-HP Code Description

HP.1 Hospitals

HP.1.1 General hospitals

HP.1.2 Mental health hospitals

HP.1.3 Specialised hospitals (other than mental health hospitals)

HP.2 Residential long-term care facilities

HP.2.1 Long-term nursing care facilities

HP.2.2 Mental health and substance abuse facilities

HP.2.9 Other residential long-term care facilities

HP.3 Providers of ambulatory health care


HP.3.1 Medical practices

HP.3.2 Dental practices

HP.3.3 Other health care practitioners

HP.3.4 Ambulatory health care centres

HP.3.5 Providers of home health care services

HP.4 Providers of ancillary services

HP.4.1 Providers of patient transportation and emergency rescue

HP.4.2 Medical and diagnostic laboratories

HP.4.9 Other providers of ancillary services

HP.5 Retailers and other providers of medical goods

HP.5.1 Pharmacies

Retail sellers and other suppliers of durable medical goods and


HP.5.2
medical appliances

All other miscellaneous sellers and other suppliers of pharmaceuticals


HP.5.9
and medical goods

HP.6 Providers of preventive care

HP.7 Providers of health care system administration and financing

HP.7.1 Government health administration agencies

HP.7.2 Social health insurance agencies

HP.7.3 Private health insurance administration agencies

HP.7.9 Other administration agencies

HP.8 Rest of the economy

HP.8.1 Households as providers of home health care


HP.8.2 All other industries as secondary providers of health care

HP.9 Rest of the world


t state of implementing the core classifications
f there are any deviations from SHA definitions or missing data by selecting the relevant item from the drop-down list. If the category as reported in y
hand, nothing needs the be filled in:

n your health accounts but differs from the definitions provided by the SHA 2011 manual (and additional guidelines). Please provide further clarification o
description of the deviation, information whether the deviation refers to the entire category or only individual items and an indication which years are af
reported under HF.1, this refers to all functions and providers except HC.5.1 provided by HP.5.1).

our health system (e.g. when there is no HF.1.2 Compulsory contributory health insurance scheme). Any further clarification should be provided in the

health system but it is not reported in your health accounts because data are not available (e.g. HC.3.3 Outpatient long-term care (health) exists in the n
Any further clarification should be provided in the "Explanations" column.

gory is not fully reported in your health accounts. In the "Explanations" column, please list the cross-classified cells that are not complete/not available
ported).

ot reported but it is included with another category in your health accounts (e.g. HC.1.2 Day curative care is reported together with HC.1.1 Inpatient cur
accounts the category is included. Any further clarification should also be provided in the "Explanations" column.

Please indicate any deviations from SHA


definitions or missing data and explain

Deviation from SHA definition

Deviation from SHA definition

Deviation from SHA definition

Deviation from SHA definition

Deviation from SHA definition

Category does not exist

Deviation from SHA definition

Missing (category reported elsewhere)

Deviation from SHA definition

Missing (data not available)


Missing (data not available)

Category does not exist

Please indicate any deviations from SHA


definitions or missing data and explain

Category does not exist

Category does not exist

Category does not exist

Deviation from SHA definition

Missing (category reported elsewhere)

Category does not exist

Deviation from SHA definition

Deviation from SHA definition

Category does not exist

Missing (category reported elsewhere)

Missing (category reported elsewhere)

Deviation from SHA definition


Missing (category reported elsewhere)

Category does not exist

Missing (category reported elsewhere)

Missing (category reported elsewhere)

Missing (category reported elsewhere)

Deviation from SHA definition

Deviation from SHA definition

Missing (category reported elsewhere)

Deviation from SHA definition

Deviation from SHA definition


Deviation from SHA definition

Deviation from SHA definition

Deviation from SHA definition

Missing (data not available)

Missing (data not available)

Deviation from SHA definition

Missing (data not available)

Missing (category reported elsewhere)

Please indicate any deviations from SHA


definitions or missing data and explain

Missing (data not available)

Missing (data not available)

Missing (data not available)

Missing (category reported elsewhere)

Missing (category reported elsewhere)


Missing (category reported elsewhere)

Missing (category reported elsewhere)

Missing (category reported elsewhere)

Missing (category reported elsewhere)

Deviation from SHA definition

Category does not exist


Category does not exist


ing the core classifications
or missing data by selecting the relevant item from the drop-down list. If the category as reported in your

nitions provided by the SHA 2011 manual (and additional guidelines). Please provide further clarification on the
er the deviation refers to the entire category or only individual items and an indication which years are affected
s and providers except HC.5.1 provided by HP.5.1).

2 Compulsory contributory health insurance scheme). Any further clarification should be provided in the

th accounts because data are not available (e.g. HC.3.3 Outpatient long-term care (health) exists in the national
the "Explanations" column.

s. In the "Explanations" column, please list the cross-classified cells that are not complete/not available (e.g. for

gory in your health accounts (e.g. HC.1.2 Day curative care is reported together with HC.1.1 Inpatient curative
clarification should also be provided in the "Explanations" column.

Explanations

Includes Medicaid, Indian Health Service, SAMHSA and other misc.government programs

Includes Medicare, CHIP, Veterans Administration, Department of Defense and Workers Compensation

Includes spending for Employeer-sponsored health insurance, and individually purchased insurance for the
period 2014-2016.

Includes spending for Employeer-sponsored health insurance, individually purchased insurance and property
and casualty insurance medical coverage for the period 1970-2013. From 2014 refers to Medigap and
property and casualty insurance medical coverage only.

Worksite health care


Explanations

This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail

Acute care hospitals

This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail

Physician and Clincs, we do not have separate estimates of general and specialied services

Dental services

This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail

This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail

Specialty hospitals

This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail

This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail

Nursing Homes
included in total

included in total

Included with Home health estimates

Included with other estimates, categorized by establishment when service is provided

Prescribed medicines sold in a retail setting only

Over-the-counter medicines sold in a retail setting only

Included with over the counter medicines.

Therapeutic appliances and other medical durable goods sold in a retail setting only

Includes Public health, Maternal and child health and School health
Includes Public health, Maternal and Child health and School health

Explanations

Hospitals

Nursing Homes

This category is reported in HP.0


Physicians offices, includes medical and diagnostic laboratories.

Dental

Other professionals

Clinics -- data from 1998 to 2015. Previous years are included with Physician offices.

Home Health

This category is reported in HP.0

This category is reported in HP.3.1

This category is reported in HP.0

Preventive care is reported with the provider where the care is received. Included in this category is Public
Health, Maternal and Child Health and School Health.
IV. Current state of implementing the add

For each of the FS, FP and HK categories listed below, please indicate if there are any deviations from SHA definitions or missing data
your health accounts complies with the definitions and classification at hand, nothing needs the be filled in:

Deviation from SHA definition: Select this item if a category is reported in your health accounts but differs from the definitions provided
on the nature of the deviation in the "Explanations" column, including a general description of the deviation, information whether the d
years are affected.

Category does not exist: Select this item if a category does not exist in your health system. Any further clarification should be provided

Missing (data not available): Select this item if a category exists in your health system but it is not reported in your health accounts be
"Explanations" column.

Partially missing (data is partially not available): Select this item if a category is not fully reported in your health accounts. In the "Expla
available.

Missing (category reported elsewhere): Select this item if a category is not reported but it is included with another category in your hea
accounts the category is included. Any further clarification should also be provided in the "Explanations" column.

IV.1. Current state of ICHA-FS implementation

ICHA-FS Code Description

FS.1 Transfers from government domestic revenue

FS.1.1 Internal transfers and grants

FS.1.2 Transfers by government on behalf of specific groups

FS.1.3 Subsidies

FS.1.4 Other transfers from government domestic revenue

FS.2 Transfers distributed by government from foreign origin

FS.3 Social insurance contributions

FS.3.1 Social insurance contributions from employees

FS.3.2 Social insurance contributions from employers

FS.3.3 Social insurance contributions from self-employed

FS.3.4 Other social insurance contributions

FS.4 Compulsory prepayment (other than FS.3)


FS.5 Voluntary prepayment

FS.6 Other domestic revenues n.e.c.

FS.7 Direct foreign transfers

FS.7.1 Direct foreign financial transfers

FS.7.2 Direct foreign aid in kind

IV.2. Current state of ICHA-FP implementation


ICHA-FP Code Description

FP.1 Compensation of employees

FP.1.1 Wages and salaries

FP.1.2 Social contributions

FP.1.3 All other costs related to employees

FP.2 Self-employed professional remuneration

FP.3 Materials and services used

FP.3.1 Health care services

FP.3.2 Health care goods

FP.3.3 Non-health care services

FP.3.4 Non-health care goods

FP.4 Consumption of fixed capital

FP.5 Other items of spending on inputs

FP.5.1 Taxes

FP.5.2 Other items of spending


IV.2. Current state of implementing the capital account

Code Description

HK.1.1.1 Infrastructure

HK.1.1.2 Machinery and equipment

HK.1.1.3 Intellectual property products

HK.1.1 Gross fixed capital formation


e of implementing the additional classifications

there are any deviations from SHA definitions or missing data by selecting the relevant item from the drop-down list. If the category as reported in
n at hand, nothing needs the be filled in:

your health accounts but differs from the definitions provided by the SHA 2011 manual (and additional guidelines). Please provide further clarification
eneral description of the deviation, information whether the deviation refers to the entire category or only individual items and an indication which

ur health system. Any further clarification should be provided in the "Explanations" column.

ealth system but it is not reported in your health accounts because data are not available. Any further clarification should be provided in the

ory is not fully reported in your health accounts. In the "Explanations" column, please list the cross-classified cells that are not complete/not

t reported but it is included with another category in your health accounts. Please explain in the "Explanations" column where in your health
provided in the "Explanations" column.

Please indicate any deviations from SHA


definitions or missing data and explain

Category does not exist

Category does not exist


Deviation from SHA definition

Category does not exist

Please indicate any deviations from SHA


definitions or missing data and explain

Deviation from SHA definition

Deviation from SHA definition

Deviation from SHA definition

Missing (data not available)

Missing (data not available)

Missing (data not available)

Missing (data not available)


Please indicate any deviations from SHA
definitions or missing data and explain

Missing (data not available)


he additional classifications

or missing data by selecting the relevant item from the drop-down list. If the category as reported in

tions provided by the SHA 2011 manual (and additional guidelines). Please provide further clarification
whether the deviation refers to the entire category or only individual items and an indication which

d be provided in the "Explanations" column.

h accounts because data are not available. Any further clarification should be provided in the

s. In the "Explanations" column, please list the cross-classified cells that are not complete/not

ory in your health accounts. Please explain in the "Explanations" column where in your health

Explanations
Explanations

limited data available 1998-2016. Only the total is available for 1987-1997

limited data available 1998-2016. Only the total is available for 1987-1997

limited data available 1998-2016. Only the total is available for 1987-1997

We are currently developing information that may be consistent with this category. It is not
available at this time.
Explanations

We only have this data at the total level.

We only have this data at the total level.

We only have this data at the total level.


V. Revisions
If your data submission includes revised data tables replacing previously submitted data, please provide a
brief overview of the revisions (reason for revision, affected items, etc).
V.1. Revised data
The data has been revised from 1994 forward. These revisions are due to revised data sources and affected the
total spending, the proividers and the funding sources.

Please provide a description of your general revision policy (how often is data revised, how many years,
for what reasons, etc).
V.2. General revision policy
Health spending estimates are revised annually based on updated data sources.
VI. Financing schemes
For each of the HF categories listed below, please list the names of the financing schemes included under the category. Please
provide the names of the schemes in English as well as your national language, if possible. To the extent possible, please use
the specific terminology used in your country, rather than using generic labels such as social health insurance, voluntary health
insurance, etc.

In some instances it might be difficult to identify the individual schemes or it might not be feasible to list all schemes under a
category. For example, the number of private insurance companies offering voluntary health insurance in a country can be large.
In such cases it it might be more practical to provide a short description of the types of schemes included, rather than listing all
the individual schemes. For countries that have not yet compiled the HFxFS table, it would also be useful to provide
supplementary information describing the main revenue streams (FS) for each Scheme, as shown in the examples below.

As the financing schemes in SHA have a link to ESSPROS schemes, "Eurostat countries" (= EU and EFTA countries +
candidates and potential candidates to the EU) are invited to liaise with their ESSPROS colleagues in order to have consistent
information provided for SHA and ESSPROS and avoid a duplication of work at national level.

VI.1. Government schemes (HF.1.1)


Examples: National Family Welfare Programme - (funded by general government revenues and external funds)

VI.2. Social health insurance schemes (HF.1.2.1)


Example: Statutory Health Insurance - Gesetzliche Krankenversicherung (GKV) - (funded by employer and employee contributions and
government transfers)

VI.3. Compulsory private insurance schemes (HF.1.2.2)


Example: Compulsory health insurance under the Dutch Healthcare Insurance Act - Zorgverzekeringswet (ZVW) (funded by employer and
employee contributions, government contributions for some groups)

VI.4. Compulsory medical savings accounts (HF.1.3)


Example: Medisave

VI.5. Voluntary health insurance schemes (HF.2.1)


Example: Complementary organisations - Organismes complémentaires (mutuelles, institutions de prévoyance et sociétés d’assurances)-
(funded by individual contributions, government contributions for the poor).

VI.6. NPISHs financing schemes (HF.2.2)


Example: Services of non-profit hospitals not under contract with Social Health Insurance - (funded by donations)

VI.7. Enterprise financing schemes (HF.2.3)


Example: Public and private enterprises financing health care services provided to employees through their own network of health facilities -
(funded by corporations)

VI.8. Household out-of-pocket payment (HF.3)


Example: Co-payments for hospital services - (funded by households)
VI.9. Rest of the world financing schemes (HF.4)
Example: Joint Sickness Insurance Scheme of the European Institutions (JSIS) for EU officials that are residents - (funded by their
contributions as employees)

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