The Netherlands
Reform of the Health System Based on Competition and Privatisation
Bibliographic Data
| ID | 5003376 |
|---|---|
| Authors | Sylvie Cohu (Ministère de l’Emploi et de la Solidarité Sociale (Québec)), Diane Lequet-Slama (Ministère de l’Emploi et de la Solidarité Sociale (Québec)), Pierre Volovitch (Ministère de l’Emploi et de la Solidarité Sociale (Québec)) |
| Year | 2006 |
| Issue | 6 |
| Pages | 207-226 |
| Publication date | 2006-12-06 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Revue française des affaires sociales (JOURNAL) |
| Journal identifiers | ISSN: 0035-2985 • E-ISSN: 2111-4358 |
| Publisher | CAIRN (PUBLISHER) |
| DOI | 10.3917/rfas.en606.0207 |
| OpenAlex | W2160704709 |
| Language | EN |
| Citations received | 1 |
| References cited | 5 |
Reform of the Dutch health system, which began in 2006, is based on the introduction of competitive mechanisms within the general curative care compartment. On 1 January 2006, the distinction between public health funds and private insurance funds ended and health insurance became privatised. The Dutch freely chose their health insurer and pay a premium that is no longer income-based, but varies according to the insurers and the policy chosen. The public authorities, who are aware of the problems posed by a mechanism that could allow health insurers to practise risk selection, have implemented various measures intended to balance relationships between the different players: a risk equalisation system, a standard health basket, mandatory insurance for all and prohibition of the differentiation of premiums in relation to risk.Several issues remain, nonetheless: the effectiveness of tax measures taken to compensate the non-redistributive effects of a flat-rate premium that penalises even more on the poorest, the quality of information for the insured in order to allow them to make a clear choice and the effectiveness of turning insurers into health care operators capable of negotiating with professionals not only regarding rates, but also regarding quality
Actuarial science · Business · Competition (biology) · Economic growth · Economics · Health care · Health insurance · Negotiation · Order (exchange) · Political science · Public economics · Quality (philosophy) · Self-insurance · Finance · Health Services Management and Policy · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Health Policy
| Citations per year | 0.05 |
|---|---|
| Citation span | 2007 - 2007 (1) |
| Highly cited | No |