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Health Spending in Japan: Macro-Fiscal Implications and Reform Options
Author:
Mr. Masahiro Nozaki
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Kenichiro Kashiwase null

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Ikuo Saito
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Series:
IMF Working Papers
Volume/Issue:
Volume 2014: Issue 142
Language:
English
Publication Date:
04 Aug 2014
DOI:
https://doi.org/10.5089/9781498365277.001
ISBN:
9781498365277
ISSN:
1018-5941
Pages:
39
Keywords:
WP; cost growth; cost; profile shift; Japan; health spending; long-term care; fiscal policy; spending ratio; health status; health outcome; spending data; health system; spending increase; copayment rate; health risk; budget target; LTC spending; health spending growth; Health care spending; Aging; Health care; Global
Legal-disclaimer:
IMF Working Papers describe research in progress by the author(s) and are published to elicit comments and to encourage debate. The views expressed in IMF Working Papers are those of the author(s) and do not necessarily represent the views of the IMF, its Executive Board, or IMF management.
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Health spending has risen rapidly in Japan. We find two-thirds of the spending increase over 1990–2011 resulted from ageing, and the rest from excess cost growth. The spending level will rise further: ageing alone will raise it by 3½ percentage points of GDP over 2010–30, and excess cost growth at the rate observed over 1990–2011 will lead to an additional increase of 2–3 percentage points of GDP. This will require a sizable increase in government transfers. Japan can introduce micro- and macro-reforms to contain health spending, and financing options should be designed to enhance equity.
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Cover IMF Working Papers
IMF Working Papers
ISSN:
1018-5941
Publisher:
International Monetary Fund