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• W1538967343 abstract "textabstractIn several countries major health care reforms have been implemented in the last decades.Most of these reforms focused on a shift from supply-side regulation to a moredemand-side oriented system. Managed competition can be seen as a blue print forthe reforms in several European countries including the Netherlands, Germany andSwitzerland (Enthoven and van de Ven 2007, van de Ven 1996). With the introduction ofmanaged competition, the structure of the health care market shifted to a more marketoriented system in which third-party payers are responsible for the purchase of care. Inmost countries, health insurers function as third-party payers. Health insurers are givenincentives and tools to act as prudent buyers of care on behalf of their enrollees. Enrolleesare given incentives to encourage insurers to act as prudent buyers of care sincethey have to buy a health insurance plan on a competitive health insurance market.In this thesis we focus on the Dutch health care system. The introduction of the newHealth Insurance Act (HIA) in 2006 has been a major step in the transition towards managedcompetition. Under the HIA all persons who legally live or work in the Netherlandsare obliged to buy a basic benefit package from a private health insurer on a competitivehealth insurance market. Health insurers are obliged to accept all applicants against acommunity rated premium. Via a risk equalization fund health insurers are compensatedfor high risk enrollees. Consumers can receive subsidies that make insurance affordablefor everyone (Van de Ven and Schut 2009). With the introduction of the HIA price competitionon the health insurance market increased substantially. Moreover, insurers aregiven different tools to act as prudent buyers of care. Insurers can selectively contractwith health care providers and offer different health plans to their enrollees includinge.g. preferred provider plans and traditional fee-for-service plans." @default.
• W1538967343 created "2016-06-24" @default.
• W1538967343 creator A5069991511 @default.
• W1538967343 date "2009-11-17" @default.
• W1538967343 modified "2023-09-23" @default.
• W1538967343 title "Consumer channeling in health care: (im) possible?" @default.
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