Jürgen Wasem

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Jürgen Wasem (born September 2, 1959 in Cologne ) is a German scientist and political advisor . He is professor for medical management at the University of Duisburg-Essen in Essen .

Life

Wasem studied economics - with the minor subjects political science and social policy - at the University of Cologne (1978 to 1983) and was a visiting student at the Pennsylvania State University for one semester and at the University of Sussex for three trimesters . From 1983 to 1985 he was a research assistant at the seminar for social policy at the University of Cologne . He completed his doctoral thesis in the field of health economics in 1986 with Philipp Herder-Dorneich . From 1991 to 1996 he worked on his habilitation thesis at the Faculty of Health Sciences at Bielefeld University .

From 1985 to 1989 Wasem was a consultant in the department of health care and health insurance in the Federal Ministry of Labor and Social Affairs (today the department is in the Federal Ministry of Health ) under Federal Minister Norbert Blüm and was appointed to the government council for employment. This was followed by a professorship for health insurance at the Cologne University of Applied Sciences (1989 to 1997; on leave: 1991 to 1994). From 1991 to 1994 Wasem was project manager at the Max Planck Institute for the Study of Societies (Cologne). From 1997 to 1999 Wasem was Professor of Health Economics at the Medical Faculty of the Ludwig Maximilians University in Munich , then from 1999 to 2003 Professor of General Business Administration and Health Management at the Faculty of Law and Political Science at the Ernst Moritz Arndt University in Greifswald . Since 2003 he has held the Alfried Krupp von Bohlen and Halbach Endowed Chair for Medical Management at the Faculty of Economics at the University of Duisburg-Essen, based in Essen ; Since 2005 he has also been a member of the Medical Faculty of the University of Duisburg-Essen, where he represents the subject of “Health Economics, Health System, Public Health”. In 2004 Wasem rejected an offer from Bielefeld University.

Jürgen Wasem lives in Troisdorf . He is married and has two (adult) children.

2012, the German Society for Nicotine and Tobacco Research eV Wasem has the Fritz-Lickint - medal for his services in the health economic research of the cost of smoking awarded and the economics of smoking cessation. In the FAZ ranking of the most influential economists in Germany, he was listed in September 2013 in 7th place.

Memberships, commissions

From 1994 to 1996, Wasem headed the “Independent Expert Commission to Investigate the Problem of Increasing Contributions from Private Health Insurance in Old Age”, which was set up by the federal government on the basis of a resolution by the German Bundestag . Wasem formed a group of experts together with Karl W. Lauterbach , Bert Rürup and Gerd Glaeske in 2001, which, on behalf of the Friedrich Ebert Foundation, presented key points for the further development of the health care system. On the other hand, he was also a member of the Herzog Commission , which worked out a reform program for social security on behalf of the CDU party executive in 2003 , and in 2012/2013 a member of a reform commission set up by the Heinrich Böll Foundation , which is close to the green . In 2010 and 2011 Wasem participated in the commission set up by the EKD to develop its positions on the reform of the health care system. Wasem was chairman of the board of the German Society for Disease Management (DGDM) from 2005 to 2009 and a member of the board of the German Society for Social Medicine and Prevention (DGSMP) from 2004 to 2011, and from 2010 to 2016 he was a member of the extended board of the German Society for Health Economics (and was its chairman in 2013) and since 2010 he has been a member of the extended board of the Federal Managed Care Association. Since 1998 he has been a member of the executive board of the Society for Social Progress . Wasem was a member of the scientific advisory board of the company health insurance from 2004 to 2008 , which he chaired from 2004 to 2006. Wasem was from 2001 to 2012 chairman of the state arbitration office for contract medical care in Mecklenburg-Western Pomerania . From 2005 to 2007 he was deputy chairman, since 2007 he has been chairman of the state arbitration office for contract dental care in the Rhineland , and from 2013 to 2016 he was also the chairman in Saxony . Since 2007 he has also been chairman of the extended evaluation committee for contract medical care , which sets the fee schedule for resident doctors (the uniform evaluation standard ) at the federal level in the event of a dispute between the National Association of Health Insurance Funds and the National Association of Statutory Health Insurance Physicians ; Since 2012, he has also been the chairman of the extended, supplementary assessment committee, to which, in addition to the parties mentioned, the German Hospital Society also belongs and who, in the event of disputes, decides in particular on the amount of the remuneration for outpatient specialist care. From 1998 to 2018 he was a member of the supervisory board of Allianz Private Krankenversicherung (initially: Vereinte Krankenversicherung), since 1997 he has been a member of the Advisory Board of Barmenia Krankenversicherung and since 1999 of the Expert Advisory Board of Continentale Private Krankenversicherung. He was (until 2010) a member of the Scientific Advisory Board of the German Society for Medical Rehabilitation (DEGEMED). From 1998 to 2012 he was a member of the Scientific Advisory Board of the Federal Center for Health Education . In 1998 he was elected spokesman for the Rehabilitation Economics working group in the research focus rehabilitation sciences funded by the federal government and pension insurance. Since then he has developed an increased interest in health economic evaluations. In 2004, together with Pamela Aidelsburger, a former employee of his chair, he founded CAREM GmbH, a contract research institute that offers health economic evaluations (www.carem.de) and was a co-partner there until 2013; In 2014 he founded the Essen Research Institute for Medical Management (EsFoMed) with scientists from Essen. In 2006 he was appointed a member of the Medical Committee of the Science Council (until 2010). In 2007 he coordinated a group of experts set up by the Federal Ministry of Health on the standards of health economic evaluation of pharmaceuticals. From 2009 to 2018 Jürgen Wasem was a member of the Scientific Advisory Board for the further development of risk structure compensation, which is located at the Federal Social Security Office , and at the same time its chairman; after he had expressed public criticism of reform proposals from Federal Health Minister Jens Spahn, he no longer appointed him to the advisory board. In 2014 he was elected to the Presidium of the Society for Insurance Science and Design (GVG). Since 2015 he has been a member of the Scientific Advisory Board of the MPL Corporate University . From July 2015 to June 2019 Wasem was the impartial chairman of the arbitration board for the setting of prices for patented drugs if the pharmaceutical manufacturer and the umbrella association of the German health insurance funds do not agree on a price. Wasem has chaired the arbitration board for the determination of remuneration amounts for digital health applications since August 2020. The arbitration board sets reimbursement amounts for digital health applications if these are to be financed by the health insurance companies and the manufacturer of the digital health application and the National Association of Health Insurance Funds do not agree on a payment amount.

Content

Wasem advocates a stronger competitive orientation for statutory health insurance. The health insurance companies are supposed to organize economical and quality-assured health care under the pressure of their insured persons. For this it is necessary that the health insurance companies are no longer forced to conclude contracts with all doctors and hospitals, but can choose between doctors and hospitals. Wasem sees the most differentiated risk structure compensation possible between the health insurance companies as an essential framework condition : Health insurance companies that insure people who can only pay low contributions due to low income or who insure older and sicker insured persons should not experience any disadvantage, but rather from health insurance companies with a " more favorable "risk structure receive compensation. Three extensive reports, in which Wasem contributed to the Federal Ministry of Health in 2000/2001, 2003/2004 and 2010/2011, have significantly influenced the legal regulations on morbidity-oriented risk structure compensation.

Another focus of Wasem is health economic evaluations , especially of drugs and medical products as well as special forms of care.

Wasem advocated in the 1990s that private health insurance companies take greater account of inflation and medical advances in the formation of provisions for aging. The proposals of the “Independent Expert Commission” (see above) headed by him were largely taken into account by the then Minister of Health Andrea Fischer in the “GKV Health Reform 2000”.

Publications (excerpt)

  • Independent commission of experts to investigate the problem of increasing contributions by privately insured people in old age. Assessment. Bundestag printed paper 13/4945. online (PDF; 2.2 MB)
  • G. Glaeske, KW Lauterbach, B. Rürup, J. Wasem: Setting the course for the future. Elements of a new health policy . Presented at the conference of the Friedrich-Ebert-Stiftung, discussion group work and social affairs, "Medium and long-term design of the German health system" on December 5, 2001 in Berlin. Bonn 2001. (online)
  • K. Jacobs, P. Reschke, D. Cassel, J. Wasem: On the effect of the risk structure compensation in the statutory health insurance. An investigation on behalf of the Federal Ministry of Health . Nomos, Baden-Baden 2002. (online)
  • I. Ebsen, S. Greß, K. Jacobs, J. Szecseny, J. Wasem: Contract competition in statutory health insurance to improve the quality and economic efficiency of health care. Expert opinion on behalf of the AOK Federal Association . (= AOK in dialogue. Volume 13). Bonn 2003. (online)
  • P. Reschke, S. Sehlen, G. Schiffhorst, W. Schräder, K. Lauterbach, J. Wasem: Classification models for insured persons in risk structure compensation. Final report. Analysis of the selection of suitable group formations, weighting factors and classification features for a direct morbidity-oriented risk structure compensation in the statutory health insurance. On behalf of the Federal Ministry of Health. Final report . (= Series of publications research report on health research. Volume 334). Bonn 2005. (online)
  • S. Drösler, J. Hasford, B.-M. Kurth, M. Schaefer, J. Wasem, E. Wille: Evaluation report on the 2009 annual adjustment in the risk structure adjustment. BMG. Berlin 2011. (online)
  • S. Drösler, E. Garbe, J. Hasford, I. Schubert, V. Ulrich, W. van de Ven, A. Wambach, J. Wasem, E. Wille: Special report on the effects of morbidity-oriented risk structure compensation. Bonn 2017. (online)

Web links

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  1. ^ Fritz Lickint Medal
  2. ↑ FAZ, Economists Ranking
  3. ↑ EKD texts 110
  4. ↑ Thrown out by Jens Spahn - Health Pope Wasem must abdicate , published in the Handelsblatt on August 29, 2018.
  5. ^ GVG Presidium
  6. ^ Wasem new chairman. In: Deutsche Apotheker Zeitung. July 2, 2015, Retrieved July 6, 2015
    Wasem wins the AMNOG Lotto. ( Memento from July 2, 2016 in the Internet Archive ). Retrieved July 2, 2016.
    Wasem continues to head the arbitration board. In: Doctors newspaper online. June 12, 2018. Huster replaces Wasem at the head of the AMNOG arbitration board. Doctors newspaper online. July 1, 2019 ( https://www.aerzteblatt.de/nachrichten/104310/Huster-loest-Wasem-an-Spitze-der-AMNOG-Schiedsstelle-ab )
  7. ↑ [1] Retrieved August 15, 2020
  8. ↑ Carem
  9. ↑ Esfomed
personal data
SURNAME Wasem, Jürgen
BRIEF DESCRIPTION German scientist and professor for medical management
DATE OF BIRTH 2nd September 1959
PLACE OF BIRTH Cologne