The world s third largest spender on healthcare after USA and China

Transcription

1 The world s third largest spender on healthcare after USA and China Deloitte Touche Tohmatsu LLC, Partner, Leader in Japanese Healthcare Industry Group Yoritomo WADA 14 th March 2018 That article is a personal opinion of the author, this is not official view on Deloitte Touche Tomatsu LLC.

2 Outline What s Happening in Japan - Super-aged Society Health System - Health Insurance - Long-Term Care Insurance System Our Challenging - Where we go? - Healthy Ageing 2

3 Basic Statistics Japan England(*2) America(*2) China(*2) Population(million) ,383 Life expectancy Both sexes Man Women (*1) Healthy life expectancy Both sexes 74.9 (*2) Aging rate 26.8% 18.5% 15.4% 10.6% Source: (*1) Ministry of Health Labour and Welfare, (*2) World Health Statistics

4 Japan has experienced rapid demographic change. The aging of society is by no means limited to Japan and other countries Aging rate% JP CH EN US Super-aged society 30% Super-aged society 21% Aged Society 14% JP: Japan EN: England US: United States CH: China Year Source:World Population Prospects: The 2015 Revision 4

5 The increasing healthcare expenditure has placed a significant strain on the national health system in Japan National Medical Expense Long-term Care Benefit Expense (Billion GBP) (Billion GBP) 150 JPY = 1GBP Approximately 1.5 times increase in 10 years Approximately 2 times increase in 10 years Source : National Institute of Population and Social Security Research, prepared by Ministry of Health, Labor and Welfare documents 5

6 Healthcare System 6

7 Health Insurance in Japan and United Kingdom Coverage Japan United Kingdom Co-Payment Over 75 years old 10% years old 20% Worker 30% Under 6 years old By municipality Source : Created by DTT in reference of Japan Ministry of Health Labour and Welfare England 7 Prescriptions, Optical services and Dental services 100% paied by patients

8 Healthcare system in Japan and England Patients Clinic Large Hospital Patients General Practitioner (Primary Care) Large Hospital Free access Medical Appointment Referral Free access Anyone enables to access medical institutions, anywhere, anytime Some large hospitals are required a referral letter and a first visit fee ( 35)since 2016 Source : Created by DTT in reference of International comparison of medical system, Ministry of Finance 8 CCG* are responsible for the commission to most secondary care services *CCG : Clinical commissioning groups

9 Long-term care insurance system in Japan Enforced the system in 2000 Required to receive a long-term care certification Subscriber Long term care needed Level 1-5 Monthly Benefits Level1 1,113 Level2 1,308 Level3 1,795 Level4 2,054 Level5 2,404 Patient's Pay Mainly 10% Services Residential Services Home care services Community-oriented service Municipal governments Support needed Level 1&2 Level1 334 Level2 698 Mainly 10% Home care services Community-oriented service 9 Not applicable Source : Created by DTT in reference of Japan Ministry of Health Labour and Welfare Roukenkyoku/201602kaigohokenntoha_2.pdf Depend on municipality 150 JPY = 1 GBP Depend on municipality Living support Service program Preventive program

10 Our Challenges 10

11 Where we go? Vision of 2025 : Improve medical supply and demand balance in a community General acute hospital bed Long-term care Nursing Care Hospital Beds Nursing home High Acute Phase Residential services General acute phase Subacute phase Strengthen regional inclusive care system Differentiation of inpatient medical function Strengthen coordination of each medical function Enhance long-term care facilities High Acute Phase General acute phase Subacute phase Long-term care Nursing home Residential services From Facility to Familiar area From Medical care to Nursing care Home service Home service Source : Created by DTT in reference of Japan Ministry of Health Labour and Welfare 11

12 Collecting, storing, analyzing and sharing healthcare records Digital Healthcare Network (PHR&EHR) In Progress Healthcare portal site Analysis service Research service Provide a third party Healthcare record shared service EHR Emergency medical record shared service Personal Health Record Clinic Hospital Data Center Pharmacy Clinic Hospital Residents Patients Source : Created by DTT in reference of Future Investment Conference, Cabinet Public Relations Office, Cabinet Secretariat 12

13 Promote elderly people social participation in diverse ways Active ageing Retirement Birth Healthy life expectancy 74.9 Life expectancy Job opportunities for retired elderly people How to live Shorten care period Extend 13

14 14

15 Thank you 15

16 Deloitte Tohmatsu Group (Deloitte Japan) is a collective term that refers to Deloitte Tohmatsu LLC, which is the Japan member firm of Deloitte Touche Tohmatsu Limited (DTTL), a UK private company limited by guarantee, and firms affiliated with Deloitte Tohmatsu LLC that include Deloitte Touche Tohmatsu LLC, Deloitte Tohmatsu Consulting LLC, Deloitte Tohmatsu Financial Advisory LLC, Deloitte Tohmatsu Tax Co., DT Legal Japan, and Deloitte Tohmatsu Corporate Solutions LLC. Deloitte Tohmatsu Group is known as one of the largest professional services groups in Japan. Through the firms in the Group, Deloitte Tohmatsu Group provides audit & assurance, risk advisory, consulting, financial advisory, tax, legal and related services in accordance with applicable laws and regulations. With about 11,000 professionals in nearly 40 cities throughout Japan, Deloitte Tohmatsu Group serves a number of clients including multinational enterprises and major Japanese businesses. For more information, please visit the Group s website at Deloitte provides audit & assurance, consulting, financial advisory, risk advisory, tax and related services to public and private clients spanning multiple industries. Deloitte serves four out of five Fortune Global 500 companies through a globally connected network of member firms in more than 150 countries and territories bringing world-class capabilities, insights, and high-quality service to address clients most complex business challenges. To learn more about how Deloitte s approximately 245,000 professionals make an impact that matters, please connect with us on Facebook, LinkedIn, or Twitter. Deloitte refers to one or more of Deloitte Touche Tohmatsu Limited, a UK private company limited by guarantee ( DTTL ), its network of member firms, and their related entities. DTTL and each of its member firms are legally separate and independent entities. DTTL (also referred to as Deloitte Global ) does not provide services to clients. Please see to learn more about our global network of member firms. This communication contains general information only, and none of Deloitte Touche Tohmatsu Limited, its member firms, or their related entities (collectively, the Deloitte Network ) is, by means of this communication, rendering professional advice or services. Before making any decision or taking any action that may affect your finances or your business, you should consult a qualified professional adviser. No entity in the Deloitte Network shall be responsible for any loss whatsoever sustained by any person who relies on this communication. Member of Deloitte Touche Tohmatsu Limited