The future of social health insurance in Europe:
redefining solidarity and responsibility ?
International Conference
on the occasion of the 50th anniversary of the Belgian Statutory Health Insurance Act
21 March 2014 - Hotel Bloom! Rue Royale 250, 1210 Brussels

NL -  FR

and speakers presentations
available on the

 NHIDI 50th
Events &

 Full programme (PDF)
EN - FR - NL





Rita BAETEN , master of social sciences, is a senior policy analyst at the OSE. Her research activities focus on the impact of European integration on national healthcare systems and on their social character. 

Her research topics include themes such as EU economic governance and health systems; patient mobility in the EU; healthcare services in the internal market; and EU-level co-operation in the field of healthcare.

She is work leader for the OSE contribution to EU research projects such as ECAB (2010-2013) and “Europe for patients" (2004-2007). Both projects address cross border care and are financed by the European Commission under its Framework Programmes for Research. 

Rita Baeten advises the Belgian federal authorities on EU policy developments with a potential impact on healthcare in Belgium. She also coordinated the scientific preparation and follow-up of several international and ministerial conferences on these topics.

Reinhard BUSSE, Professor Dr. med. MPH FFPH, is department head for health care management in the Faculty of Economics and Management at Technische Universität Berlin, Germany. He is also a faculty member of Charité, Berlin’s medical faculty as well as Associate Head of Research Policy and Head of the Berlin hub of the European Observatory on Health Systems and Policies, a member of several scientific advisory boards as well as a regular consultant for WHO, the EU Commission, the Worldbank, OECD and other international organizations within Europe and beyond as well as national health and research institutions. From 2006 to 2009, he served as dean of his faculty.

His research focuses on methods and contents of comparative health system analysis (with a particular emphasis on the reforms in Germany, other social health insurance countries in western as well as central and eastern Europe and beyond, role of EU, financing and payment mechanisms as well as disease management), health services research including cost-effectiveness analyses, health targets, and health technology assessment (HTA). His department has been designated as a WHO Collaborating Centre for Health System Research and Management.

He was the coordinator of several EU-funded projects. Since 2011, he is editor-in-chief of the international peer reviewed journal Health Policy. Since 2012, he is the director of the Berlin Health Economics Research Centre (overarching topic “Towards a Performance Assessment of the German Health Care System“).

Jo DE COCK has obtained a master of law and a master of criminology from the Catholic University of Louvain, where he started his professional experience as a research assistant on the Institute of Social Security of the Faculty of Law (1977-1983). He continued his career by joining the Center for political, economical and social studies where he was researcher and political advisor. From the mid eighties until the beginning of the nineties he worked as a deputy director and counselor of social affairs in the office of the Belgian Prime Minister (1985-1993). Later on he filled the position of deputy general administrator of the National Social Security Office (1993-1995). 

Since 1995, he is General Administrator of the Belgian National Institute for Health and Disability Insurance.


Henri DE RIDDER is Director-General of the Health Insurance Department at the National Institute for Health and Disability Insurance, Brussels, Belgium since 17/10/2005. 

He graduated from the University of Ghent as a doctor in the medicine, surgery and obstetrics in 1976. He was general practitioner in a primary health center from 1976 till 2000. 

He was counselor and deputy director in the cabinet of Ministers of Health and of Social Affairs from 1997 till 2005. 

He has large experience in public health policy, public administration, primary health care, social equity and equal access, chronic care, health insurance.

Ignaas DEVISCH PhD (1970) is professor in Ethics, Philosophy and Medical Philosophy. 

He holds positions at Ghent University and University College Arteveldehogeschool, Belgium and was researcher for five years at the Radboud University Nijmegen. He publishes in the fields of medical philosophy, philosophy and ethics. 

Some recent publications: (2012) Devisch, Ignaas, Co-responsibility: a new horizon for today’s health care? (Health Care Analysis, DOI: 10.1007/s10728-011-0175-y); (2011) Devisch, Ignaas, Progress in medicine: autonomy, oughtonomy and nudging (Journal of Evaluation of Clinical Practice, 17: 851-861); (2012) Devisch, Ignaas, The tribunal of modern life: The case of UZ Brussels in the light of Odo Marquard’s discussion of autonomy and theodicy. The Journal of Evaluation of Clinical Practice

Ulrike ELSNER, born 1965, study of jurisprudence at the universities of Augsburg and Freiburg, Trainee solicitor in Berlin und Seattle.

Since July 2012 Chief Executive Officer of the Association of Substitute Health Funds (vdek); 
since 2008 Head of department „Ambulatory Care“ and Representative of the Chief Executive Officer; 
2004 - 2008 Head of the VdAK/AEV-regional representation Saxony (Germany); 
1994 - 2004 Consultent and Head of divison „Contracts“ at the VdAK/AEV-regional representation Berlin

Josep FIGUERAS, MD, MPH, PhD (econ), Spanish, is the Director of the European Observatory on Health Systems and Policies and head of the WHO European Centre on Health Policy in Brussels. In addition to WHO, he has served other major multilateral organizations such as the European Commission and the World Bank. He is a member of several advisory and editorial boards and has served as advisor in more than forty countries within the European region and beyond. He is member of APHEA board of accreditation; honorary fellow of the UK faculty of public health medicine, has twice been awarded the EHMA prize, and in 2006 received the Andrija Stampar Medal. He was head of the MSc in Health Services Management at the London School of Hygiene & Tropical Medicine and he is currently visiting professor at Imperial College, London. 

His research focuses on comparative health system and policy analysis and is editor of the European Observatory series published by Open University Press. He has published several volumes in this field, the last two: Health systems, health and wealth: assessing the case for investing in health systems (2012) and Health professional mobility and health systems (2011).

Professional background
2007 - General Secretary of the National Alliance of Christian Mutualities (ANMC) 
1995 - 2006 National Secretary of the National Alliance of Christian Mutualities 
1988 - 1994 Director of the Research and Development Department of ANMC 
1988 – 1995 Consultant of the Minister of Health of the Brussels’Region 
1981 – 1988 Consultant and thereafter deputy principal private secretary of the Minister of Social Affairs. Member of various consulting commissions of the National Institute of Sickness and Invalidity Insurance (R.I.Z.I.V.) and of the Ministery of Health. 
1989 – 2008 Professor in Health Economics at the Public Health School, UCL 
1986-1992 Assistant lecturer at the “Centrum voor Ziekenhuiswetenschappen, KUL
Education background
1977 – 1979 Post-Master in Public Policy Studies, University of Michigan, Ann Arbor 
1973 – 1977 Master in Economic Sciences, Université Catholique de Louvain

Dr Florence HUT is a physician (MD) graduated from the Université libre de Bruxelles in 1993. She specialized in abdominal surgery and participated in the kidney transplantation program at Erasme Hospital until 2010. She became Deputy Medical Director of this hospital in 2003, and lecturer at the Solvay Brussels School of Economics and Management. She was adviser of the federal Minister of Social Affairs and Public Health from 2005 to 2007. Since 2010, she is physician-in-chief at the Brugmann University Hospital (Brussels).

Dr Patrick JEURISSEN, PhD, is currently chief of the strategy and knowledge management group at the Dutch Ministry of Health, Welfare and Sport. He is an expert on the design and implementation of policies that address issues of sustainability and affordability in healthcare and represents the Dutch government at the OECD and EU on such issues. He also heads the new Celsus academy of sustainable healthcare (Radboud University in Nijmegen) and sits at the board of several nonprofit organizations in the field of healthcare. 
His major interests are: strategic policymaking, health care finance and cost-containment policies, for-profit providers and payers, solidarity in health care systems, and comparative health care research. He lectures and publish on these issues both at the national and international level.

Before his current positions, he worked as a senior strategic analyst at the Dutch Council for Public Health and Health Care as well as being a controller in an university clinic. He holds a Ph.D in health economics and a MPA in Public Administration both from Erasmus University in Rotterdam.

Boris KRAMBERGER was born in 11th of August 1956 in Ljubljana – Slovenia. He graduated in 1980 in Faculty for social sciences (University of Ljubljana) where he stayed as assistant for communicology and journalism. From 1984 - 1992 he worked in Institute for Public Health of Slovenia as head of publishing unit and editor of professional journal for public health. 
During this period he participated in different national teams for health promotion/prevention and several national public health campaigns. In 1992 he joined Health Insurance Institute of Slovenia - newly established national provider of social health insurance - covering public relations and strategic communication matters. From 2005 - 2012 he managed sector for the development. Beside strategic planning and developmental tasks in the field of health care financing & social health insurance he devoted special attention to the improvement of analytical capability and usage of (information system) data. Today he is senior adviser in Health Insurance Institute of Slovenia. 

Jean MACQ is professor at the faculty of public health and institute of research of health and society at the Université Catholique de Louvain. 
He is medical doctor with an MPH and PhD in public health. 

He has more than 20 years of experience in health services organization, and management in Belgium, Africa, Asia and Latin America. 

He is presently teaching health care organization, public health and epidemiology. He is coordinating or participating in several health system research projects. His actual research topics cover ambulatory and primary care organization, with a particular focus on chronic and long term care for older people.

Bruno PALIER is CNRS Research Director at Sciences Po, Centre d’études européennes. Trained in social science, he has a PHD in Political science, and is a former student of Ecole Normale Superieure. He is studying welfare reforms in Europe. He is Honorary Professor in Welfare state research at the University of South Denmark. 

He was Guest Professor at the University of Stockholm (Spring 2009 and 2010), Visiting Scholar at Northwestern University (Spring quarter 2007), at Center for European Studies from Harvard University in 2001 and Jean Monnet Fellow in the European University Institute in Florence in 1998-1999. 
Between 2007 and 2011, he was the scientific coordinator of an European Network of excellence RECWOWE (Reconciling Work and Welfare, involving 30 European research institutions or Universities, 190 researchers from 19 European countries). In Sciences po, he is the director of a joint programme Sciences po Northwestern University : "Health Policy in Europe". He is Member of the Society for the Advancement of Socio-Economics (SASE) Executive Council, and of the board of the Research Committee 19 (on Poverty, Social Welfare and Social Policy) of the International Sociological Association (ISA).
Between 1994 and 1998, he has organised for the French Ministry of Social Affairs a programme called “Comparing Wlefare systems in Europe”. Between 1999 and 2005, he launched and took part of the management of an European Cost programme (Cost A15) : « reforming social protection systems in Europe ». 

Willy PALM is the Dissemination Development Officer of the European Observatory on Health Systems and Policies. He is responsible for coordinating the Observatory’s various knowledge sharing mechanisms, including the organisation and facilitation of policy dialogues, engaging with policy-makers in European countries on various health systems related issues.

As a lawyer specialized in European social security law, he has been working mainly in the field of statutory health insurance and has been more specifically looking at the impact of EU integration on health systems. Before joining the Observatory in April 2006, he was the Managing Director of the International Association of Mutual benefit societies (AIM).

Mark PEARSON is Deputy-Director for Employment, Labour and Social Affairs at the Organisation for Economic Co-operation and Development (OECD). Mr. Pearson works with the Director to provide leadership in the co-ordination and management of the activities of DELSA and ensure that it is at the forefront of the international social and employment agenda.

Mr. Pearson joined the Organisation in 1992, initially working in DAF on tax issues. After working on the OECD Jobs Study, he moved to ELS where he headed work on employment-oriented social policies, including developing the concept of ‘Making Work Pay’ and starting the publication ‘Society at a Glance’. He became head of the Social Policy Division from 2000-2008, during which time he initiated work on ‘Babies and Bosses’, ‘Pensions at a Glance’, led the first cross-directorate work on gender, and work on income inequality in OECD countries.
In 2009 he became Head of the Health Division where the central focus of work has been on how to deliver health care with greater efficiency, including putting much more effort into prevention of obesity and harmful use of alcohol.
He gave evidence to the US Senate on ‘Obamacare’, and has been on a panel advising the Chinese government on its health reforms. Prior to joining the OECD, Mr. Pearson worked for the Institute for Fiscal Studies in London, and also as a consultant for the World Bank, the IMF and the European Commission.
Mr. Pearson is British, and has a degree in Politics, Philosophy and Economics from Oxford, and an MSc in Economics and Econometrics 
from Birkbeck, University of London.

Josef PROBST studied law at the University of Linz and worked for four years at the Institute of Labour and Social Security Law. His career began in the Social Health Insurance at the regional fund of Upper Austria. In 1991 he changed to the Main Association of Austrian Social Security Institutions as Deputy General-Director. 

Josef Probst was appointed to the position as General-Director of the Main Association of Austrian Social Security Institutions in April 2013. Currently Austria is undergoing a healthcare reform in which Dr. Probst is very much involved.

Tanel ROSS
2012- Estonian Health Insurance Fund, Chairman of the Management Board
2012- Ministry of Finance of the Republic of Estonia, Deputy Secretary-General of Financial Policies and Foreign Relations 
2009 – Ministry of Finance of the Republic of Estonia, Deputy Secretary-General for Development, European Union and Foreign Relations 
2005 – 2009 Bank of Estonia, Head of the International and Public Relations Department
2003 – 2005 The International Monetary Fund, Senior Adviser to the Council Member of the Board of Directors
2001 – 2003 Bank of Estonia, Head of the International and Public Relations Department
1999 – 2001 Bank of Estonia, Head of International Department
1993 – 1999 Bank of Estonia, specialist, chief specialist, head of subdivision
1992 – 1993 The State Chancellery of the Republic of Estonia, senior consultant
1991 – 1992 RE Norma, leading software engineer
1988 – 1991 Institute of Cybernetics of the Academy of Sciences of the Republic of Estonia, engineer

Erik SCHOKKAERT is full professor of health economics and welfare economics at the Department of Economics of the KULeuven. He chairs the interdisciplinary think tank “Metaforum” of the KULeuven. He has been visiting professor at the London School of Economics, at the Université catholique de Louvain, at Universidad ICESI (Cali, Colombia) and at the University of Antwerp. 

His research focuses on (a) the modelling of different concepts of distributive justice and individual well-being; (b) the empirical analysis of opinions about justice in the population; (c) the application of these theories for the analysis of specific policy problems in the fields of health and social security. 

Between 1990 and 2009 he was involved in the gradual introduction of individual financial accountability and risk adjustment in the Belgian system of health insurance, first as member of an Advisory Committee of Experts, then (since 1995) under contract to do research and give concrete policy advice about the risk adjustment formula. 
In 2012 he was a member of the Dutch Commission for the Evaluation of the Risk Equalisation Scheme in Health Insurance (commission-Don). Since 2012 he is a member of the Advisory Board of the Dutch Healthcare Authority.

1/03/2011 - to date: Deputy Director-General in the Health and Consumers' Directorate-General (SANCO), European Commission. Responsible for directorates dealing with Consumer affairs, Public health and Health systems and products.

October 2006 - February 2011: Director Environment Protection, Malta Environment & Planning Authority. 

January 2001 – October 2006: Head of the Foodstuffs, Chemicals & Cosmetics Directorate, Malta Standards Authority, Ministry for Competitiveness & Communications. 

November 1997 - January 2001: Technical Co-ordinator, Malta Standards Authority
February 1986 - November 1997: Professional Officer, Malta Standards Laboratory, Department of Industry

Luc VAN GORP (1966), studied nursing, philosophy and theology in Leuven and at Oxford University. He worked for several years as a hospital nurse in Leuven and Brussels, he was ethicist ethics at the Nursing Education Institute in Genk and at the Catholic University College Limburg, involved in training on nursing, midwifery and remedial education.

Since 2001 he has been Head of the Healthcare Department at the Catholic University College Limburg, (Association KU Leuven), and since 2008 he is president of the White-Yellow Cross Flanders, a federation of services for home nursing care. Luc Van Gorp is committed to the quality of the training courses on care, aiming to ensure good and appropriate care for the patients of tomorrow. He believes in a structural collaboration between fieldworkers and the field of education and among health professionals with a multidisciplinary approach to the benefit of the quality of care. To this end, the required funding systems need to be jointly developed. He stood at the cradle in the development and implementation of the teaching care center for nurses in training. Luc Van Gorp is also president of the Flemish Federation of Nursing Services ( VFDT ) and member of SARR welfare .

Frederic VAN ROEKEGHEM was appointed by the French Council of Ministers as the new Director of the National Health Insurance Fund on 22 September 2004. In November 2004 the former Head of Cabinet of Minister Philippe Douste-Blazy also took the direction of the National Union of Health Insurance Funds.

As former student of the School of Polytechnics (1980), Mr van Roekeghem was Director of the Central Agency of Social Security Bodies in 2003 ; Auditing Director of the Groupe GIA AXA from 2001 until 2003 ; Director of the Solidarity Fund for the Elderly from 1997 until 2001 and Counselor at the Cabinet of the Minister of Economy and Finances in 1995.

Ilse WEEGHMANS is Director of the Flemish Patient Platform. The Flemish Patient Platform is an independent umbrella organization of 99 patient organisations from Flanders that strives for accessible care tailored to the patient and his environment. 

The Platform seeks active participation of patients in health policies and health care. Its projects are borne by experience experts from the patient organisations. Patients’ rights, independent complaint procedures for patients, access to care, education and equal opportunities are an important focus of its activities.

The Flemish Patient Platform aims to be an interlocutor in (health) policies, next to providers, policy makers and researchers. The Platform wants to improve the quality of life of the patient and his environment through participation , representation, involvement in the organization and development of policies on health in all its aspects and at all levels.

Sara WILLEMS received a master in Health Promotion (1999) and a PhD in Medical Sciences (2005, promotor: Prof. Jan De Maeseneer) at Ghent University. Her dissertation focused on the accessibility of the Belgian health care system for people living in poverty. Since then she is responsible for the development of the research group ‘Equity in health care’ in the Department of Family Medicine and Primary Health Care. 

The work of this interdisciplinary research group focuses on the social gradient in health care use; the role of components of the process and structure of the health care system on equity in health care; and on the role of social processes (social capital on individual and neighbourhood level) on health inequity. Sara Willems is (co)author of several international publications and of several reports for governmental organisations. 

She is actively involved in the educational programs of Medicine and Health Promotion in the Faculty of medicine and health sciences at Ghent University. She teaches a.o. on social inequality in health and health care; social capital; quantitative research methods; and writing a research paper. Sara Willems is often invited as a speaker on (inter)national and local symposia, conferences and meetings; and as an expert-member in the field of equity in health (care) in commissions and councils. 

This event is financed by the Belgian National Institute for Health and Disability Insurance