BMI View: State-run insurers in Central and Eastern Europe are coming under pressure to manage deficits as revenues decrease and liabilities rise on the back of ageing populations and increased incidences of lifestyle-related diseases. TheHealth Insurance Institute of Slovenia is faced with the choice of raising revenue or cutting back on spending; however, given the relative fragility of the macroeconomic outlook for Slovenia, increasing the tax burden on the public could worsen the recession in the country and the budgetary position. Similarly, cutting spending on healthcare will undoubtedly stretch the healthcare system and lead to workforce cuts.BMIbelieves that efficiency drives in the state health system and increasing the contribution base is the best compromise to meeting these challenges.

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