Regulatory impact assessment: Reference pricing system [21.12.2018]
Regulatory impact assessment for the introduction of a reference pricing system in the market for patent-expired drugs
Together with Interface and the University of Basel, Polynomics carried out a regulatory impact assessment on the introduction of a reference pricing system in Switzerland on behalf of the Federal Office of Public Health (FOPH) and the State Secretariat for Economic Affairs (SECO). The reference pricing system (RPS) in the market for patent-expired drugs is a planned measure, which the Federal Council intends to implement to contain costs within the framework of Health 2020.
The study shows that it is plausible that an RPS can achieve the desired goal of reducing compulsory health insurance costs through lower drug expenditure. Short-term savings in the low three-digit million range are expected. However, the desired effect will be offset by undesired effects due to a (partly temporary) deterioration in patient safety and security of supply compared to the status quo. The cost-benefit ratio for the population from these opposing effects cannot be estimated because it is unknown whether the disbenefit of potential deteriorations in patient safety and security of supply is greater than the benefit from the savings in compulsory health insurance costs and thus in health insurance premiums.
Banks and insurers in Switzerland 2017 [21.11.2018]
The financial sector is an important economic pillar
Our study shows: The financial sector remains one of the most important sectors of the Swiss economy. With gross value creation of approximately CHF 60 billion, the financial sector contributed around 9.2 percent to total gross value creation in Switzerland in 2017, which is significantly above average compared with other countries. The financial sector employed around 207,500 people (full-time equivalents) in the past year, which corresponds to a year-on-year decrease of 1.2 percent. One main reason for this reduction in jobs was the transfer of one major bank’s central services to an internal service provider of the group.
In addition to the development of value added and employment in the Swiss financial sector, we also analyse its fiscal significance and its contribution to growth compared to other sectors and other countries. As a final step, we assess the short and medium-term development of the financial sector.
Social partnership and social security in the digital age [18.10.2018]
Together with 16 partners, Dr. Hans Werder, Dr. Peter Müller and Polynomics have developed impulses on social partnership and social security in the digital age.
These recommendations and reform ideas on behalf of the CH2048 Foundation are strongly based on models that have already been tried and tested in practice. Since it has been possible to bring together employee and employer organisations as well as well-known companies, the proposals drawn up are likely to be politically acceptable to a majority. Over the next few years, these recommendations and reform ideas are to be widely discussed and subsequently further deepened and substantiated.
The Effect of EFAS on the Premiums of the HMO-insured [16.09.2018]
Under EFAS a larger part of the cost savings in HMO models can be passed on to the HMO-insured in the form of premium reductions.
In the current financing system of the compulsory health insurance (OKP), health insurers pay 100% of outpatient costs and a maximum of 45% of inpatient costs. Cantons then pay the remaining 55% of inpatient costs .This system of dual-fix hospital financing has long been the subject of criticism because it is associated with various disincentives. For instance, insurers have a reduced incentive to realize cost savings for the HMO-insured in the inpatient sector since they can only pass 45% of these savings on to the HMO-insured in the form of premium reductions. Using the results of a 2017 study on the cost savings of HMO-Models this report estimates the effect of EFAS on the health care premiums for the HMO-insured.
Based on these calculations, the insurance companies could pass on around CHF 200 to every HMO-insured in the form of a premium reduction under EFAS. Currently these savings are captured by the cantons. With the introduction of EFAS, the health care premiums of the HMO-insured could thus be reduced by around 6%, which corresponds to an increase in the current discounts of around 20%.
Start of key performance indicator and efficiency benchmarking 2018 activities [14.09.2018]
Swiss electricity distribution network operators now can transfer their final ElCom cost calcula-tion for 2019 tariffs to Polynomics.
Polynomics is starting its key performance indicator and efficiency comparison 2018 activities within the scope of the VSE/AES Datenpool© after the expiry of the general submission deadline for ElCom questionnaires. This benchmarking provides the participating distribution network operators with the opportunity to compare each other’s detailed key performance indicators. The key performance indicator and efficiency benchmarking is based on the annual regulatory cost calculation that Swiss distribution network operators have to submit to the regulator (ElCom).
Study "Vision Employer Policy 2030" [15.06.2018]
Polynomics designs scenario-based future visions and guidance for the employer policy in Switzerland.
Polynomics has been requested by the Swiss Employers Association (SAV) to develop scenario-based future visions for the employment market. The effects on the industry sectors and professional competence requirements are presented on the basis of these future visions. The study results will be used for specific fields of action: The pension age has to be more flexible. Incentive systems have to be created to ensure that working at retirement age is worth it. Reforms of employment and social insurance law have to be considered to ensure that new forms of employment develop in line with social requirements. Migration has to be designed so that the number of vacancies increases and the lack of qualified employees eases. In terms of vocational training and training for employees, ways have to be found for the compulsory curriculum at schools to be able to focus more on the requirements of the future employment market and living environment despite federalism.
Importance of the health service in the Canton of Aargau [14.06.2018]
The health service – a highly complex system and pillar of growth for the economy in Aargau
Polynomics was requested by the Association of Clinics, Hospitals and Care Institutions in Aargau (VAKA) to analyse a study on the economic importance of the healthcare sector with special focus on institutions with in-patient facilities in the Canton of Aargau as well as various potential savings measures in the healthcare sector. The results show that the healthcare sector is a key employer in the canton and has contributed significantly to both the number of jobs and added value growth in the canton over the past five years. When comparing the canton’s spending on health at an inter-cantonal level, it becomes apparent that the Canton of Aargau spends significantly less than most of the other cantons despite demand for healthcare services being average. With this in mind, Polynomics reviewed various savings measures, such as the "Out-patient over in-patient" reform and the implementation of a global budget. All of the savings measures reviewed have in common that they are being implemented within a highly complex system. Their effects can therefore not be reliably anticipated and often undesired effects in other parts of the overall system or outside the healthcare sector are to be expected.
10-year anniversary [25.03.2018]
Polynomics celebrates its 10-year anniversary this year.
Polynomics has been active as a specialised consulting company since 01/01/2008 and has made a name for itself in the sectors of energy, health, telecommunications and financial markets in Switzerland, Germany and Austria. Due to a combination of proven economical tools, methods and industry knowledge together with experience in implementing complex themes in a practice-oriented way, we have been able to implement a number of projects for our customers over the past 10 years. We are pleased to be able to start the next 10 years with you and thank you for the loyalty you have shown already.
New employees at Polynomics [24.03.2018]
At the start of year, we welcomed 2 new consultants to Polynomics.
At the start of 2018, we welcomed Dr. des. Beatrice Mäder as a new consultant. Ms Mäder has a Bachelor of Arts in International Relations from the University of Geneva and a Master of Arts in Economics from the University of St. Gallen. She wrote her dissertation on the topic of public finances and health economics at the University of St. Gallen. She is a consultant at Polynomics and a lecturer in micro and macroeconomics at the University of St. Gallen.
Marc Bill also joined Polynomics as a consultant. He has a Master of Arts in Economics from the University of Zurich and further training in the area of survey techniques (Utrecht, NL) and project management. Prior to his employment at Polynomics, he was a scientific employee in the faculty of Finance and Macroeconomics at the University of Zurich and at the University of Applied Sciences of North-West Switzerland (FHNW) and also a project manager for performance audits at tarifsuisse AG.
German gas distribution network operators: 3rd regulation period [01.01.2018]
The third incentive regulation period for German gas distribution network operators began on 01/01/2018.
As before, the corresponding ruling chamber of the Federal Network Agency (BNetzA) is behind schedule with key tasks. Thus the report on the individual efficiency value will probably only be published in spring 2018. Polynomics provides the industry data pool together with PwC and, and will after publication of the report, support the participants of the data pool project with corresponding sensitivity calculations relating to the efficiency value.
Paediatric hospitals [21.12.2017]
We have analysed the causes of service-related additional costs in children’s hospitals using the case costs of Swiss network hospitals.
The Alliance of Paediatric Hospitals (AllKidS) has asked SwissDRG AG to review the accuracy of the SwissDRG tariff structure in the area of specialised paediatric medicine. SwissDRG AG subsequently commissioned Polynomics to create a study of this type for them.
In the study, we identified possible causes of service-related additional costs in paediatric hospitals. We then used the case costs of Swiss network hospitals to empirically review the hypotheses.
The results confirm that, in the case standard cost comparison, most additional costs are not caused by inefficiencies. On the contrary, the specialised paediatric hospitals take on an end carer role for children and, with regard to the costs, they are thus particularly affected because they must treat the most expensive patients at the end of the treatment chain.
The study and the reaction of SwissDRG AG can be found on the SwissDRG-homepage under SwissDRG
Increasing state economy beyond public service [07.12.2017]
Polynomics wrote a study on potential unfair competition by the state economy in selected sec-tors.
Polynomics investigated the issue of potential distortions of competition by the state economy in selected sectors on behalf of the State Secretariat for Economic Affairs (SECO). Public market activities are often not related to universal service obligations or critical infrastructures and are thus distorting competition unnecessarily. The cantons now have around 800 holdings in 500 companies. There is no overview of the municipalities. In the sectors of energy and transport, health and financials, a comparison between required as standard (target) and actual practice (actual) shows an extremely unsatisfactory picture. The increasing share of employment in industries close to the state also leads one to assume that the influence of the public sector has recently increased even further. A transparent declaration of holdings and competitive commitments by the state is long overdue. Parliaments at all federal levels must ensure that these activities do not distort competition and that service mandates are renegotiated, put out to tender and that the state economy is removed.
Metering costs for power in Switzerland [30.11.2017]
Polynomics evaluated the metering costs survey by ElCom from summer 2017 as a special topic in the VSE/AES data pool.
The evaluation of the one-time questionnaire by ElCom on the metering costs in summer 2017 enables a more accurate view of the total metering costs of the power distribution network operators. Participants in the VSE/AES data pool can use a special report to estimate their total metering costs with a cross-comparison in a more accurate way than was previously possible with the annual standard survey by ElCom on the “Cost calculation for tariffs”. With regard to costs and prices of consumption metering, we carried out numerous comparisons, which specially gave indications of data quality.
Importance of the Swiss financial sector [29.11.2017]
The financial sector is one of the most important sectors in the Swiss economy.
Our study shows that the financial sector is still one of the most important sectors for the Swiss economy. Even with the declining value creation in 2016, the financial sector still contributed around 9.4 percent to the gross value-added in Switzerland, which is above average in comparison to other countries. The financial experts questioned by Polynomics as part of a consensus survey assessed the growth expectations for the financial sector as cautiously optimistic.
Study: Banks and insurers in Switzerland - Analysis of the economic importance of the Swiss financial sector, Study by order of the Swiss Insurance Association (SVV) and the Swiss Bankers Association (SBA), 2017. Link to the Publications
Media markets with complete digital consumption [14.11.2017]
Digitalisation is shaking up the media landscape. We investigated the implications for market structure and democracy.
Progressive digitalisation and interconnectivity is leading to a more intensive and changing media usage. This is shaking up the environment for media representatives. Print media in particular must rethink its business model and find new sales channels and sources of financing. Technological innovations now enable very small companies or even individuals to create media content and make it available to a wide audience.
There is a risk that the discussion on the implications of digitalisation is, from the start, much too focussed on maintaining existing structures. To conduct the necessary debate separately from the current acquis, we will make an intellectual time leap forwards into a completely digitalised world. Compared to today, the massively lower production and sales costs of media content will reduce obstacles to market entry and thus increase competitive pressure. The new competitors respond to this with new business models, a large variety of products and products of increasingly differentiated quality. As a result, the media market is increasingly determined by the different needs of customers and the variety of media is on the increase. This variety can be perceived by the public as complex and may necessitate a greater demand for guidance. This in turn calls new players into action who strive to commercialise this guidance. In our report, we also look at financing issues, the problem of false reports, echo chambers and the implications for democracy.
Although many questions remain unanswered, we see great opportunities for media in digitalisation as well as manageable risks. The transformation should not be delayed through regulations, which would probably primarily be driven by the current acquis.
Digitalisation influences the labour market [22.06.2017]
Over the last few months, Polynomics has been looking closely at the implications of digitalisation on the labour market.
Polynomics has created a corresponding meta study on behalf of the Fondation CH2048 and other supporting institutions. In doing this, almost 100 national and international studies were viewed and summarised in a structured way. The result shows that the implications of digitalisation and networking on the labour market can already be shown. In particular,it is to state an increasing pressure on employees with a medium level qualification and a high proportion of routine activities. With regard to future opportunities and risks of digitalisation for the labour market, a lot will depend on the specific configuration of the regulatory framework. It includes in particular the education policy, handling of data protection, labour market policy, and the forms of social insurances.