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Swiss and Dutch “consumer-driven health care”: Ideal model or reality?

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  • Okma, Kieke G.H.
  • Crivelli, Luca

Abstract

This article addresses three topics. First, it reports on the international interest in the health care reforms of Switzerland and The Netherlands in the 1990s and early 2000s that operate under the label “managed competition” or “consumer-driven health care.” Second, the article reviews the behavior assumptions that make plausible the case for the model of “managed competition.” Third, it analyze the actual reform experience of Switzerland and Holland to assess to what extent they confirm the validity of those assumptions. The article concludes that there is a triple gap in understanding of those topics: a gap between the theoretical model of managed competition and the reforms as implemented in both Switzerland and The Netherlands; second, a gap between the expectations of policy-makers and the results of the reforms, and third, a gap between reform outcomes and the observations of external commentators that have embraced the reforms as the ultimate success of “consumer-driven health care.” The article concludes with a discussion of the implications of this “triple gap”.

Suggested Citation

  • Okma, Kieke G.H. & Crivelli, Luca, 2013. "Swiss and Dutch “consumer-driven health care”: Ideal model or reality?," Health Policy, Elsevier, vol. 109(2), pages 105-112.
  • Handle: RePEc:eee:hepoli:v:109:y:2013:i:2:p:105-112
    DOI: 10.1016/j.healthpol.2012.10.004
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    References listed on IDEAS

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    1. Schut, Frederik T. & van de Ven, Wynand P. M. M., 2011. "Effects of purchaser competition in the Dutch health system: is the glass half full or half empty?," Health Economics, Policy and Law, Cambridge University Press, vol. 6(1), pages 109-123, January.
    2. Frank, Richard G. & Lamiraud, Karine, 2009. "Choice, price competition and complexity in markets for health insurance," Journal of Economic Behavior & Organization, Elsevier, vol. 71(2), pages 550-562, August.
    3. Maarse, Hans & Paulus, Aggie, 2011. "The politics of health-care reform in the Netherlands since 2006," Health Economics, Policy and Law, Cambridge University Press, vol. 6(1), pages 125-134, January.
    4. Lehmann, Hansjorg & Zweifel, Peter, 2004. "Innovation and risk selection in deregulated social health insurance," Journal of Health Economics, Elsevier, vol. 23(5), pages 997-1012, September.
    5. Office of Health Economics, 2007. "The Economics of Health Care," For School 001490, Office of Health Economics.
    6. Tuohy, Carolyn H., 2012. "Shall we dance? The intricate project of comparison in the study of health policy," Health Economics, Policy and Law, Cambridge University Press, vol. 7(01), pages 21-23, January.
    7. Luigino Bruni & Pier Luigi Porta (ed.), 2007. "Handbook on the Economics of Happiness," Books, Edward Elgar Publishing, number 3437.
    8. Luca Crivelli & Gianfranco Domenighetti & Massimo Filippini, 2007. "Federalism Versus Social Citizenship: Investigating the Preference for Equity in Health Care," Chapters, in: Luigino Bruni & Pier Luigi Porta (ed.), Handbook on the Economics of Happiness, chapter 22, Edward Elgar Publishing.
    9. Beck, Konstantin & Spycher, Stefan & Holly, Alberto & Gardiol, Lucien, 2003. "Risk adjustment in Switzerland," Health Policy, Elsevier, vol. 65(1), pages 63-74, July.
    10. Francesca Colombo, 2001. "Towards More Choice in Social Protection?: Individual Choice of Insurer in Basic Mandatory Health Insurance in Switzerland," OECD Labour Market and Social Policy Occasional Papers 53, OECD Publishing.
    11. Smith, Peter C. & Anell, Anders & Busse, Reinhard & Crivelli, Luca & Healy, Judith & Lindahl, Anne Karin & Westert, Gert & Kene, Tobechukwu, 2012. "Leadership and governance in seven developed health systems," Health Policy, Elsevier, vol. 106(1), pages 37-49.
    12. Beck, Konstantin & Trottmann, Maria & Zweifel, Peter, 2010. "Risk adjustment in health insurance and its long-term effectiveness," Journal of Health Economics, Elsevier, vol. 29(4), pages 489-498, July.
    13. Luca Crivelli & Massimo Filippini & Ilaria Mosca, 2006. "Federalism and regional health care expenditures: an empirical analysis for the Swiss cantons," Health Economics, John Wiley & Sons, Ltd., vol. 15(5), pages 535-541, May.
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    Cited by:

    1. Andree Ehlert & Thomas Wein & Peter Zweifel, 2017. "Overcoming resistance against managed care – insights from a bargaining model," Health Economics Review, Springer, vol. 7(1), pages 1-15, December.

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