In Germany, having a health insurance is compulsory for all citizens either through a statutory or a private health insurance. About 88% of the population have a statutory health insurance and a further 11% have a private health insurance [15]. The analysis was based on claims data from the AOK-Nordost, which is a large statutory health insurance provider in the federal states of Berlin, Brandenburg and Mecklenburg-Western Pomerania, Germany. In the federal state of Mecklenburg-Western Pomerania, the AOK-Nordost insured 431,474 people in 2015, which represents 27% of the population. In this region, the AOK-Nordost insures elderly people to a large part. Data from the years 2015 and 2016 were used for the analysis.
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