Insurance company Zurich has released a new research report titled The Value of Chronic Care, analyzing how health systems across all 38 OECD countries are responding to the growing burden of chronic diseases. The report finds that health outcomes are not primarily driven by healthcare spending but depend more on how effectively care is organised, coordinated, and delivered over time.
Zurich: More Money Isn’t Always Better In Chronic Care



Zurich’s research covers all 38 OECD nations and uses the newly developed Chronic Care Index metric to benchmark how well each country’s health system is equipped to handle the long-term management of chronic conditions such as diabetes, heart disease, and respiratory illnesses. Globally, these conditions collectively represent one of the most significant pressures facing modern healthcare infrastructure.
The index evaluates factors related to care organization and delivery effectiveness, rather than relying solely on traditional metrics like per-capita healthcare spending – countries with more coordinated, proactive care models tend to achieve better outcomes for patients living with chronic diseases.
Zurich identified three main findings: first, chronic disease is shifting toward long-term illness, with fewer early deaths but more people living with conditions such as cancers and cardiovascular disease, which each account for 21% of lost healthy life across OECD countries.
Second, health outcomes depend more on the quality, coordination, and accessibility of care than on the level of spending, with systems built for acute care struggling to manage lifelong conditions. Third, the report points to an opportunity for earlier and more integrated care, supported by shared responsibility across healthcare providers, employers, and insurers, though it notes that prevention remains underfunded.
While the OECD study focuses on its 38 member nations, the implications carry relevance for markets like Malaysia, where chronic non-communicable diseases including diabetes and hypertension remain leading public health concerns. The full report is available here and provides detailed country-by-country analysis alongside the methodology behind the chronic care index.
Pokdepinion: Turns out that throwing money at a broken system just gives you a more expensive broken system.

