Erik Schut
Dados Biográficos
| ID | 3574341 |
|---|---|
| NOME | Erik Schut |
| PRENOMES | Erik |
| SOBRENOME | Schut |
| ASSINATURA | SCHUT E |
| AFILIAÇÕES | Erasmus University Rotterdam |
| ORCID | 0000-0002-5748-5403 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 15 |
| TOTAL DE CITAÇÕES | 26 |
| TOTAL COMO AUTOR | 15 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1986 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 3 |
Comparing the Evolving Dynamics of the Mandatory-Voluntary Financing Mix in OECD Countries
Universal Health Coverage in OECD countries is achieved through a mix of government-based schemes and private health insurance markets (PHI). In response to global challenges, similar reform waves were implemented across countries with different health systems. Similar reforms might lead to a similar and increasingly complex health system financing structure over time. Equity and efficiency issues might arise at the interaction between government…
Financing Covid-19-related health care costs in the Dutch competitive health system during 2020 and 2021
The Dutch health system is based on the principles of managed (or regulated) competition, meaning that competing risk bearing insurers and providers negotiate contracts on the price, quantity and quality of care. The COVID-19 pandemic caused a huge external shock to the health system which potentially distorted the conditions required for fair competition. Therefore, an important question is to what extent was the competitive Dutch health system …
The dynamics of international health system reforms
Global economic and health shocks, such as the 2008 global financial crisis and the COVID-19 pandemic typically impact healthcare financing and delivery. Cutler found that profound societal changes in the 20th century induced three waves of healthcare reform across seven major OECD countries. Our study investigates whether major crises in the 21st century induced similar reform waves. Through thematic analysis, we systematically compared health s…
Preconditions for efficiency and affordability in competitive healthcare markets
From the mid-1990s several countries have introduced elements of the model of regulated competition in healthcare. In 2012 we assessed the extent to which in five countries ten important preconditions for achieving efficiency and affordability in competitive healthcare markets were fulfilled. In this paper we assess to what extent the fulfilment of these preconditions has changed ten years later. In 2022, as in 2012, in none of the five countries…
Aligning Ambition and Reality
Financial factors have an impact on the outcomes of integrated care projects and must be viewed in synergy with interrelated other factors. Crucial for realizing success in integrated care, a balance must be struck between the level of ambition set in a project and the reality of the prevailing key conditions
Do health insurers use target marketing as a tool for risk selection? Evidence from the Netherlands
In health care systems based on managed competition, enrolees can choose between insurers who are positioned as prudent buyers of care on their behalf. To avoid risk selection, insurers are compensated through a system of risk equalisation. The Dutch system of risk equalisation is generally considered to be one of the most sophisticated in the world. Empirical evidence, however, shows there are still consumer segments that are profitable for insu…
Strategic cost-shifting in long-term care. Evidence from the Netherlands
With the reform in 2015 of the system of long-term care (LTC) in the Netherlands, responsibilities for the provision of social support and assistance were delegated from the central government to the municipalities. Unintentionally, the way municipalities are financed created incentives to shift cost from the local level back to central level. In this paper we examine whether municipalities respond to the prevailing financial incentives by shifti…
Does independent needs assessment limit use of publicly financed long-term care
In health care the assessment of patients' needs is typically entrusted to health care providers. By contrast, in publicly financed long-term care (LTC) needs assessment is often delegated to an independent assessor. One rationale offered for independent needs assessment in LTC is to limit the scope for moral hazard and supplier-induced demand, which may be particularly strong in case of public LTC insurance. We study whether independent needs as…
What health plans do people prefer? The trade-off between premium and provider choice
Sustainability of Comprehensive Universal Long‐term Care Insurance in the Netherlands
The Netherlands was the first country that introduced a universal mandatory social health insurance scheme for covering a broad range of long‐term care (LTC) services provided in a variety of care settings. Compared with most other OECD countries, both total and public expenditure on LTC is high, particularly since the Dutch population is relatively young. On the other hand, coverage of LTC services is relatively comprehensive. In this article we…
Preferences and choices for care and health insurance
Should catastrophic risks be included in a regulated competitive health insurance market
Forming and reforming the market for third-party purchasing of health care
Workable competition in health care
International price discrimination
Should catastrophic risks be included in a regulated competitive health insurance market
Preferences and choices for care and health insurance
Forming and reforming the market for third-party purchasing of health care
What health plans do people prefer? The trade-off between premium and provider choice
Sustainability of Comprehensive Universal Long‐term Care Insurance in the Netherlands
The Netherlands was the first country that introduced a universal mandatory social health insurance scheme for covering a broad range of long‐term care (LTC) services provided in a variety of care settings. Compared with most other OECD countries, both total and public expenditure on LTC is high, particularly since the Dutch population is relatively young. On the other hand, coverage of LTC services is relatively comprehensive. In this article we…
Workable competition in health care
International price discrimination
International price discrimination
Workable competition in health care
Should catastrophic risks be included in a regulated competitive health insurance market
Forming and reforming the market for third-party purchasing of health care
Preferences and choices for care and health insurance
Sustainability of Comprehensive Universal Long‐term Care Insurance in the Netherlands
The Netherlands was the first country that introduced a universal mandatory social health insurance scheme for covering a broad range of long‐term care (LTC) services provided in a variety of care settings. Compared with most other OECD countries, both total and public expenditure on LTC is high, particularly since the Dutch population is relatively young. On the other hand, coverage of LTC services is relatively comprehensive. In this article we…
What health plans do people prefer? The trade-off between premium and provider choice
Does independent needs assessment limit use of publicly financed long-term care
In health care the assessment of patients' needs is typically entrusted to health care providers. By contrast, in publicly financed long-term care (LTC) needs assessment is often delegated to an independent assessor. One rationale offered for independent needs assessment in LTC is to limit the scope for moral hazard and supplier-induced demand, which may be particularly strong in case of public LTC insurance. We study whether independent needs as…
Do health insurers use target marketing as a tool for risk selection? Evidence from the Netherlands
In health care systems based on managed competition, enrolees can choose between insurers who are positioned as prudent buyers of care on their behalf. To avoid risk selection, insurers are compensated through a system of risk equalisation. The Dutch system of risk equalisation is generally considered to be one of the most sophisticated in the world. Empirical evidence, however, shows there are still consumer segments that are profitable for insu…
Strategic cost-shifting in long-term care. Evidence from the Netherlands
With the reform in 2015 of the system of long-term care (LTC) in the Netherlands, responsibilities for the provision of social support and assistance were delegated from the central government to the municipalities. Unintentionally, the way municipalities are financed created incentives to shift cost from the local level back to central level. In this paper we examine whether municipalities respond to the prevailing financial incentives by shifti…
Financing Covid-19-related health care costs in the Dutch competitive health system during 2020 and 2021
The Dutch health system is based on the principles of managed (or regulated) competition, meaning that competing risk bearing insurers and providers negotiate contracts on the price, quantity and quality of care. The COVID-19 pandemic caused a huge external shock to the health system which potentially distorted the conditions required for fair competition. Therefore, an important question is to what extent was the competitive Dutch health system …
The dynamics of international health system reforms
Global economic and health shocks, such as the 2008 global financial crisis and the COVID-19 pandemic typically impact healthcare financing and delivery. Cutler found that profound societal changes in the 20th century induced three waves of healthcare reform across seven major OECD countries. Our study investigates whether major crises in the 21st century induced similar reform waves. Through thematic analysis, we systematically compared health s…
Preconditions for efficiency and affordability in competitive healthcare markets
From the mid-1990s several countries have introduced elements of the model of regulated competition in healthcare. In 2012 we assessed the extent to which in five countries ten important preconditions for achieving efficiency and affordability in competitive healthcare markets were fulfilled. In this paper we assess to what extent the fulfilment of these preconditions has changed ten years later. In 2022, as in 2012, in none of the five countries…
Aligning Ambition and Reality
Financial factors have an impact on the outcomes of integrated care projects and must be viewed in synergy with interrelated other factors. Crucial for realizing success in integrated care, a balance must be struck between the level of ambition set in a project and the reality of the prevailing key conditions
Comparing the Evolving Dynamics of the Mandatory-Voluntary Financing Mix in OECD Countries
Universal Health Coverage in OECD countries is achieved through a mix of government-based schemes and private health insurance markets (PHI). In response to global challenges, similar reform waves were implemented across countries with different health systems. Similar reforms might lead to a similar and increasingly complex health system financing structure over time. Equity and efficiency issues might arise at the interaction between government…
Business (14 obras) · Economics (14 obras) · Economic growth (11 obras) · Health care (11 obras) · Healthcare Policy and Management (11 obras) · Public economics (10 obras) · Medicine (8 obras) · Actuarial science (7 obras) · Global Health Care Issues (7 obras) · Health Systems, Economic Evaluations, Quality of Life (5 obras)