IDEAS home Printed from https://ideas.repec.org/a/bla/perwir/v6y2005i1p95-111.html
   My bibliography  Save this article

Was ist uns die Gesundheit wert? Probleme der nächsten Gesundheitsreformen und ihre Lösungsansätze

Author

Listed:
  • Klaus‐Dirk Henke

Abstract

“Who pays what and to whom?” This is one of the central questions in the German health care system. This question must be answered to guarantee a sustainable system of financing. Taxes, social security contributions, health insurance premiums, co‐payments, and out‐of‐pocket expenditures are internationally under review. The process of spending these ressources in order to pay health care services needs not only a solid analysis but a major reform as well. The basis of this article is a new framework including a minimum insurance obligation (basis health care for all) with freedom to choose between different health insurances and benefit structures and through different service packages. The minimum insurance obligation includes more competition within the production of health services, a decoupling of contributions from the wage bill and the build‐up of more capital. Innovations in financing, providing and reimbursing health care services are indispensable for a cost‐effective health insurance and health care provision that meet the needs of the population.

Suggested Citation

  • Klaus‐Dirk Henke, 2005. "Was ist uns die Gesundheit wert? Probleme der nächsten Gesundheitsreformen und ihre Lösungsansätze," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 6(1), pages 95-111, February.
    • Handle: RePEc:bla:perwir:v:6:y:2005:i:1:p:95-111
    DOI: 10.1111/j.1465-6493.2005.00170.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1465-6493.2005.00170.x
    Download Restriction: no
    File URL: https://libkey.io/10.1111/j.1465-6493.2005.00170.x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Jacobs, Klaus, 2003. "Die GKV als solidarische Bürgerversicherung," Wirtschaftsdienst – Zeitschrift für Wirtschaftspolitik (1949 - 2007), ZBW - Leibniz Information Centre for Economics, vol. 83(2), pages 88-91.
    2. Henke, Klaus-Dirk & Schreyögg, Jonas, 2004. "Towards sustainable health care systems: Strategies in health insurance schemes in France, Germany, Japan and the Netherlands ; a comparative study," Discussion Papers 2004/9, Technische Universität Berlin, School of Economics and Management.
    3. repec:ces:ifodic:v:1:y:2003:i:3:p:14567906 is not listed on IDEAS
    4. Klaus-Dirk Henke & Katja Borchardt, 2003. "Capital Funding versus Pay-as-you-go in Health-care Financing Reconsidered," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 1(3), pages 03-08, October.
    5. Klaus-Dirk Henke & Katja Borchardt, 2003. "Capital Funding versus Pay-as-you-go in Health-care Financing Reconsidered," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 1(03), pages 03-08, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kurt Hornschild & Stephan Raab & Jörg-Peter Weiß, 2005. "Die Medizintechnik am Standort Deutschland: Chancen und Risiken durch technologische Innovationen, Auswirkungen auf und durch das nationale Gesundheitssystem sowie potentielle Wachstumsmärkte im Ausla," DIW Berlin: Politikberatung kompakt, DIW Berlin, German Institute for Economic Research, edition 2, volume 10, number pbk10.
    2. Göpffarth Dirk & Henke Klaus-Dirk, 2007. "Finanzierungsreform und Risikostrukturausgleich – Was bleibt vom Ausgleichsverfahren? / Health Care Finance Reform in Germany – Effects on the Risk Adjustment Scheme," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 227(1), pages 27-48, February.
    3. repec:jns:jbstat:v:227:y:2007:i:1:p:27-48 is not listed on IDEAS
    4. Peter Zweifel, 2006. "Auftrag und Grenzen der Sozialen Krankenversicherung," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 7(s1), pages 5-26, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Henke, Klaus-Dirk, 2004. "Was ist uns die Gesundheit wert? Probleme der nächsten Gesundheitsreformen und ihre Lösungsansätze," Discussion Papers 2004/2, Technische Universität Berlin, School of Economics and Management.
    2. Isabelle Hirtzlin, 2017. "Comptes d’épargne santé : vers un nouveau mode de financement des soins ?," Post-Print hal-01575611, HAL.
    3. Isabelle Hirtzlin, 2017. "Comptes d’épargne santé : vers un nouveau mode de financement des soins ?," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) hal-01575611, HAL.
    4. Kurt Hornschild & Stephan Raab & Jörg-Peter Weiß, 2005. "Die Medizintechnik am Standort Deutschland: Chancen und Risiken durch technologische Innovationen, Auswirkungen auf und durch das nationale Gesundheitssystem sowie potentielle Wachstumsmärkte im Ausla," DIW Berlin: Politikberatung kompakt, DIW Berlin, German Institute for Economic Research, edition 2, volume 10, number pbk10.
    5. Wendt, Claus & Rothgang, Heinz, 2007. "Gesundheitssystemtypen im Vergleich: konzeptionelle Überlegungen zur vergleichenden Analyse von Gesundheitssystemen," TranState Working Papers 61, University of Bremen, Collaborative Research Center 597: Transformations of the State.
    6. Rothgang, Heinz & Wasem, Jürgen & Greß, Stefan, 2005. "Kopfprämienmodelle in der GKV - Lohnt sich ein Systemwechsel? Aktualisierte und erweiterte Expertise für die Hans-Böckler-Stiftung," IBES Diskussionsbeiträge 140, University of Duisburg-Essen, Institute of Business and Economic Studie (IBES).
    7. Wasem, Jürgen & Greß, Stefan & Rothgang, Heinz, 2003. "Kopfprämien in der gesetzlichen Krankenversicherung: Eine Perspektive für die Zukunft?," Working papers of the ZeS 07/2003, University of Bremen, Centre for Social Policy Research (ZeS).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:perwir:v:6:y:2005:i:1:p:95-111. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://edirc.repec.org/data/vfsocea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.