BEST PRACTICES FOR PREVENTION – THE EUROPEAN AND FRENCH PERSPECTIVES

1. BEST PRACTICES FOR PREVENTION – THE EUROPEAN AND FRENCH PERSPECTIVES Jean-Louis Peyrude, President, OCIRP - France

2. OCIRP • OCIRP is in charge of life insurances and covers risks of autonomy loss, in sensitive life situations which requires a unique expertise. • For the past 50 years, OCIRP has been developing these specific skills to provide, with the help of its Pension Funds and partners, guarantees that fit families’ needs.

3. KEY FIGURES 2016 • Insurance contributions received: 181,7 M € • Around 6 000 000 guarantees protect the paid workers and their families in the frame of collective agreements • 27 000 retired beneficiaries

4. OCIRPGuarantees for the future • OCIRP acts in the frame of joint welfare and transfers annuities, depending to the circumstances, in case the insured paid worker passes out: • A surviving spouse pension (married, de-facto spouse, civil partners), • A school fees insurance to orphan children, • A life-long pension for handicapped orphan children. • OCIRP will also transfer a « dependency pension » in case the paid employee looses his/her autonomy.

5. THE EUROPEAN APPROACH ON DISEASE PREVENTION AND HEALTH PROMOTION

6. Why measures for disease prevention are key for Europe Impact on the European labor market 3.4 million potential productive life years in EU countries

7. Why measures for disease prevention are key – productivity Employment rate Source: OECD estimates based on SHARE data

8. Why measures for disease prevention are key – public spending Public and private spending on disability benefits and paid sick leave Source: OECD & EC, Health at a Glance, November 2016

9. Measures on prevention – opportunities for savings in public spending More than 75% of health spending is publicly financed across European countries Source: OECD Social Expenditure Database (2016)

10. What the EU does on healthcare & prevention? The EU's role is to complement national policies by: • helping EU governments achieve shared objectives • generating economies of scale by pooling resources – EU Funds • helping EU countries tackle shared challenges - pandemics, chronic diseases or the impact of increased life expectancy on healthcare systems.

11. EU prevention policy, implemented though the EU Health Strategy, focuses on: • prevention • equal chances of good health & quality healthcare for all • tackling serious health threats  • keeping people healthy into old age • supporting dynamic health systems & new technologies

12. Characteristics of the EU approach on prevention • Collaboration across all policy areas is key – education, environmental action, etc • -> cross-cutting approach • Health sectors at national level cannot manage the current challenges alone • -> beyond national level action

13. Diseases – prevention – concrete measures at EU level The EU backs preventive action against diseases through action towards: • responsible food labelling - to inform consumers • action against breast, cervical & colorectal cancer – EU-wide screening programmes • measures to promote a healthy diet & exercise – encouraging governments, NGOs & industry to work together, making it easier for consumers to change their lifestyles. • combating smoking through legislation on tobacco products, raising awareness, advertising & sponsorship.

14. Scaling up measures for prevention - EU Funding and EU level support for action • Research & innovation & healthcare / prevention projects Through Horizon 2020 – €7.5 bnbetween 2014 - 2020. • The third EU health programme is the main instrument the European Commission uses to implement the EU health strategy The total budget for the programme is € 449.4 million between 2014-2020.

15. THE FRENCH CASE ON DISEASE PREVENTION AND HEALTH PROMOTION

16. The case of France • The problem of tobacco • The more general question of prevention

17. The case of France • French healthcare system - 10 million patients • In 2002, France dedicated € 10.9 billion on prevention – 6.4% of total health spending • Health expenditure: 10,9% of GDP in 2015 • The expenditure on prevention carries in priority on the main diseases

18. The French Regional Health Agencies (ARS) • ARS - The regional agencies of health implement action plans for the prevention in health adapted to territorial and population specificities. • Cover all areas of public health such as: • prevention, health promotion, health monitoring and security, the organization of care provision in urban medical offices, health facilities, medical and social structures

19. Health at the work place • The disease prevention and promotion of health at work & occupational health is essential • There is a clear link between public health and health at work – health promotion and disease prevention should be considered in the context of : • Role of the private sector and involvement of companies – improve and extend professional lives Work & Life balance Quality of life

20. The promises of nudging • The role of communication for public health purposes • What nudging is.. • Examples of application “A nudge is any aspect of the choice architecture that alters people’s behavior in a predictable way without forbidding any options or significantly changing their economic incentives. To count as a mere nudge, the intervention must be easy and cheap to avoid.” (Thaler & Sunstein 2008, p. 6)

21. Thank you for you attention! Conclusion Role of new technologies, research in social sciences.. Changing approaches in healthcare