10.30 – 12.30 Section 1

Why Greater Freedom of Patients Information in European Healthcare Could Save Lives and Money
Tim Evans
(Cobden Centre, Economic Policy Centre, Adam Smith Institute)
 Presentation (password needed)

Dr. Tim Evans is the Chief Executive of The Cobden Centre, Chairman of the Economic Policy Centre, and a Senior Fellow with the Adam Smith Institute. A former President and Director General of the Centre for the New Europe (2002-2005) in Brussels, between 1993 and early 2002, he was the Executive Director of Public Affairs at the Independent Healthcare Association in London where he oversaw the political affairs and public relations of the UK’s independent health and social care sector. In this role he was widely credited as being the major driving force behind the ‘2000 Concordat’ which was described by the Financial Times as the most “historic deal in 50 years of British healthcare”. Prior to that, in 1991, he was the Head of the Slovak Prime Minister’s Policy Unit in Bratislava where he worked alongside Dr. Jan Carnogursky. In the late 1980s he was the Assistant Director of the Foundation for Defence Studies. In 1993, he was awarded his PhD from the London School of Economics. Since 2007 he has been a member of the Mont Pelerin Society. In 2012, he gained an MBA from the Open University.
A regular commentator on television and radio, his articles have appeared in the Guardian, Economist, Financial Times, Wall Street Journal Europe and a host of other newspapers around the world.

Organization of healthcare may happen in two ways with the dominance of either the state with central direction or the market with diverse opportunities. Healthcare is one of the world’s most politicized markets, while too many players in this market rely on state barriers to entry and tax funding. In this respect the main challenge is to liberate health systems.
The main opportunity for the future is cheaper and more curative medicine. However, to achieve this, we need to replace the crony capitalism and statism of current health systems with genuine consumer driven markets and consumer empowerment.

European Health Consumer Index 2012 - Netherlands is winner again
Johan Hjertqvist
(Health Consumer Powerhouse, Sweden)
 Presentation (password needed)

Johan Hjertqvist has a Master of Law degree from the University of Stockholm. He is the founder and president of the Health Consumer Powerhouse, based in Stockholm, Brussels and Winnipeg. The Powerhouse benchmarks the performance of healthcare systems in 30 countries and provides analysis to policy formers, consumers and business partners. Mr. Hjertqvist has been engaged in healthcare reform for 20 years, in numerous countries. He is a productive writer and lecturer on health policy and healthcare consumer issues.

The Netherlands has been top of Europe since the first full scale Euro Health Consumer Index (EHCI) in 2006. Why – and what to learn? But before that – how does the financial crisis affect European healthcare; a topic where everybody has concerns.
EHCI 2012 still shows limited impact, though early warnings such as longer waiting for complicated treatments and a raise of out of pocket payment emerge. But overall, healthcare performance keeps improving. But of course, there might be quality loss hard to measure and problems piling up for impact in the near future.
Dutch success should be put into the perspective of consumer-driven healthcare. Europeans start asking for influence and tools to navigate healthcare: where to find the best therapies and hospitals, how to avoid long waiting, where to find my medicines and access them in a smooth way? The Dutch have listened to this call and are designing a system built from separation of payers and providers, with competition on all levels, high transparency and consumer involvement. And where politicians are kept at arm-length distance…

Bulgaria case study
Stanimir Hasardzhiev 
(National Patients Organization Bulgaria, Bulgaria)
 Presentation (password needed)

Stanimir Hasurdjiev is an Executive Director  at European Liver Patients Association. He is a Board Member at National Health Insurance Fund of Bulgaria , he works as an Executive Director at European Liver Patients Association  and he is also a Chairperson at National Patients Organisation. He is the graduate of the Medical University Sofia. Stanimir was the General Director at MED Communications.

The Bulgarian National Patient’s Organization (NPO) with its active and direct presence in national health institutions as well as in international organizations strives to increase patient influence. NPO focuses on several projects empowering patients, such as capacity building for staff member of patient organizations, the youth group of NPO, prevention on cervical cancer, Patients’ University, call center and the recent conference on health inequalities in the new EU Member States.
In Bulgaria patients have united with stakeholder organizations to establish an informal organ – The Public Council on Healthcare – in order to shift the negative developments in this sector. As a result, healthcare budget has increased and schedules were made for repaying hospital debts in stages. In 2012 the healthcare system in Bulgaria has improved and the budget of the National Health Insurance Fund is expected to yield a surplus.
In the future, legal and institutional representation of patient organizations needs to be improved in order to have an equal involvement in drafting drug policy.

Panel Discussion with Speakers led by Jim A. Rice
(Management Sciences for Health, USA)

Strategic Scenarios 2020 – Film N°2: White clan

12.30 - 13.30 Lunch

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