High deductible health plans: Lessons from Singapore

Republicans are pushing for increased use of high deductible health plans (HDHP). HDHPs have increased over time, from 29% of all employer health plans in 2021 to 33% of all employer health plans in 2025. One country that has successfully used HDHP is Singapore. A 2020 Commonweath Fund Report summarizes 3 components of the Singapore’s…

Is Caring Productive?

That is the title of a paper by Longo et al. (2025). The authors use dynamic panel data on Adult Social Care (ASC) in the UK. What is ASC include: A quick explainer about ASC in the UK: In England, there are 152 upper-tier local authorities (LAs) who are responsible for publicly-funded ASC services. Access…

Will the UK (finally) increase drug prices?

President Trump’s May 12 Executive Order around Most-Favored-Nation drug pricing argues that countries outside the US need to raise their prices on pharmaceuticals saying that many other countries are “freeloading” and paying less than their share for pharmaceuticals. In response, pharmaceutical companies have increased prices in the UK and even threatened to “walk away” from…

What’s in the UK’s Life Sciences Sector Plan?

Yesterday, the UK government released it’s Life Sciences Sector Plan (LSSP). The British government summarized the provisions as follows: 1. Unlocking NHS data to find new cures. Up to £600 million investment to build the world’s most advanced health data system – helping scientists develop better treatments faster. 2. Speeding up clinical trials. Cutting red…

NHS England will be abolished

As reported by the BBC: NHS England will be abolished and brought under “democratic control” in an attempt to cut bureaucracy and duplication, Sir Keir Starmer has announced. The organisation, which oversees the country’s health service, will be brought into the Department of Health, and the PM said the move would free up money for…

China’s transition to DRG-based hospital reimbursement

China has been transitioning from a fee-for-service (FFS) payment system to a Diagnosis-Related Group (DRG) payment system for hospitals in various cities. Under the FFS model, hospitals were reimbursed for each individual healthcare service provided, which created incentives to increase the number of services during a patient’s hospitalization. In June 2019, the National Healthcare Security…

Health care in Spain

ISPOR Europe kicks off this week in Barcelona, Spain. In honor of ISPOR, I will summarize some key attributes of the Spanish health care system based on a 2024 report from the European Observatory on Health Systems and Policies and the Instituto Aragones de Ciencias de la Salud. Country overview Population: 48.4 million (as of…