Kopfpauschalen zur Finanzierung der Krankenversicherungsleistungen in Deutschland

Recently several experts have proposed to replace the existing social health insurance revenue system by income-independent per capita contributions. Therefore the authors of this paper present different estimates for alternative forms of per capita contributions. The next step of the analysis involves calculating the reduction or increase in contribution burden following a change to a per capita contribution system. Furthermore the volume of the tax transfer required to off-set the lower income groups’ massive worsening of their income position and the higher income groups’ increased tax burden is estimated. Some of the problems involved in the practical application of introducing such a revenue system in Switzerland – the only European country applying this form of financing alternative – are addressed. The concluding section summarizes the effects of such a revenue system.Social Health Insurance System, Public Finance

Dataplane Specialization for High-performance OpenFlow Software Switching

OpenFlow is an amazingly expressive dataplane program- ming language, but this expressiveness comes at a severe performance price as switches must do excessive packet clas- sification in the fast path. The prevalent OpenFlow software switch architecture is therefore built on flow caching, but this imposes intricate limitations on the workloads that can be supported efficiently and may even open the door to mali- cious cache overflow attacks. In this paper we argue that in- stead of enforcing the same universal flow cache semantics to all OpenFlow applications and optimize for the common case, a switch should rather automatically specialize its dat- aplane piecemeal with respect to the configured workload. We introduce ES WITCH , a novel switch architecture that uses on-the-fly template-based code generation to compile any OpenFlow pipeline into efficient machine code, which can then be readily used as fast path. We present a proof- of-concept prototype and we demonstrate on illustrative use cases that ES WITCH yields a simpler architecture, superior packet processing speed, improved latency and CPU scala- bility, and predictable performance. Our prototype can eas- ily scale beyond 100 Gbps on a single Intel blade even with complex OpenFlow pipelines

Datenlage im deutschen Gesundheits- und Sozialwesen

The german data on health care and social policy are very heterogeneous. Moreover they are compiled and made accessible by a large number of different institutions. The objective of the report is, as a service for students and researchers less familiar with data sources, to provide a comprehensive overview over available data in these subject areas. For this purpose a general introductory section deals with requirements of data, deficits of the existing data sources as well as recommendations for improving the situation. In a second special section information on individual statistics are presented in the form of systematic synopses. Statistics include information on the insured persons in social insurances, beneficiaries, providers of services, expenditures and revenues for benefits. The latter includes the statistics on economic aggregates as well as the distribution over socio-economic groups. Due to the extensive number of sources the presentation is confined to data compiled by public institutions (public households, ministries, social security institutions and the federal bureau of statistics) as well as two examples of a successful integration of survey data with administrative data.public health, social policy, public finance

Zuzahlungen nach dem GKV-Modernisierungsgesetz (GMG) unter Beruecksichtigung von Haertefallregelungen

The law for the Modernisation of the Social Health Insurance System 2003 ("GKV-Modernisierungsgesetz – GMG" 2003) provides, among other measures, for a noticeable increase in co-payments and also for a reduction of possibilities for claiming exemptions from co-payments. Against this backdrop, the authors of the paper present, at the start, the varying news on co-insurance payments held by different political groups. Thereafter, the theoretical foundations of co-payments are described. Finally, on the basis of extensive empirically founded computations, the effects of the new co-payment rules (together with relevant new exemptions) are compared with the effects of the rules still in force.Social Health Insurance System, co-payment, public finance

Buergerversicherung vs. Gesundheitspraemie – Vergleich der Reformoptionen zur Finanzierung der Gesetzlichen Krankenversicherung

The wage-dependence of the Public Health Insurance (PHI) as well as the somewhat inconsistent parallel coverage via PHI and private health insurance constitute drawbacks of the present health care revenue system, leading to undesirable distributional and allocative patterns and disadvantages in the course of demographic and economic change. Two conflicting approaches, the “Buergerversicherung” (“Citizens’ Health Insurance”) and the “Gesundheitsprämie” (“Flat Rate Health Insurance”) try to remedy these by way of different methods – the former with a statutory health insurance for all and a comprehensive income basis for proportionate health insurance contributions, the latter with a flat rate contribution for the present PHI including a massive tax subsidy for the contributions for low-income groups and children. The paper presents simulations of the distributional effects. Differing effects become evident. Moreover these patterns also reflect different “philosophies” of social welfare and public revenue regimes. The “Bürgerversicherung” reduces payments by wage and wage-replacement earners and generally by low income groups, the “Gesundheitspraemie” favors higher-income individuals and particularly two-earner married couples.Social Health Insurance System, Public Finance

The Transcriptional Landscape of Marek’s Disease Virus in Primary Chicken B Cells Reveals Novel Splice Variants and Genes

Marek’s disease virus (MDV) is an oncogenic alphaherpesvirus that infects chickens and poses a serious threat to poultry health. In infected animals, MDV efficiently replicates in B cells in various lymphoid organs. Despite many years of research, the viral transcriptome in primary target cells of MDV remained unknown. In this study, we uncovered the transcriptional landscape of the very virulent RB1B strain and the attenuated CVI988/Rispens vaccine strain in primary chicken B cells using high-throughput RNA-sequencing. Our data confirmed the expression of known genes, but also identified a novel spliced MDV gene in the unique short region of the genome. Furthermore, de novo transcriptome assembly revealed extensive splicing of viral genes resulting in coding and non-coding RNA transcripts. A novel splicing isoform of MDV UL15 could also be confirmed by mass spectrometry and RT-PCR. In addition, we could demonstrate that the associated transcriptional motifs are highly conserved and closely resembled those of the host transcriptional machinery. Taken together, our data allow a comprehensive re-annotation of the MDV genome with novel genes and splice variants that could be targeted in further research on MDV replication and tumorigenesis

Wigner Molecules in Nanostructures

The one-- and two-- particle densities of up to four interacting electrons with spin, confined within a quasi one--dimensional ``quantum dot'' are calculated by numerical diagonalization. The transition from a dense homogeneous charge distribution to a dilute localized Wigner--type electron arrangement is investigated. The influence of the long range part of the Coulomb interaction is studied. When the interaction is exponentially cut off the ``crystallized'' Wigner molecule is destroyed in favor of an inhomogeneous charge distribution similar to a charge density wave .Comment: 10 pages (excl. Figures), Figures available on request LaTe

Steuerung des GKV-Arzneimittelmarktes – Auswirkungen von Selbstbeteiligungen und Härtefallregelungen

This analysis shows that hardship and not hardship cases respectively reject clear differences both at the demand and at the expenditures for pharmaceuticals financed by the statutory health insurance. Hardship cases without exemption regulations would be burden therefore by enormous co-payments. Moreover, it also turns out that straight hardship cases are less healthy on average than not hardship cases. Co-payments without accompanying hardship case regulations would therefore hardly make a supply possible adapted to the needs of hardship cases. On the other hand the effectivity of drug co-payment regulations is reduced by hardship case regulations considerably.co-payments, pharmaceutical market, statutory health insurance, public finance