IDEAS home Printed from https://ideas.repec.org/a/wly/intssr/v59y2006i3p27-47.html
   My bibliography  Save this article

Regulated Competition in Social Health Insurance: A Three‐Country Comparison

Author

Listed:
  • Stefan Greβ

Abstract

The objectives guiding healthcare reforms in Germany, Switzerland and the Netherlands were to increase efficiency and consumer satisfaction in the provision of healthcare services. This paper reviews the incentives for and instruments of competition for consumers, sickness funds and healthcare providers in these three countries which are necessary to fulfil these objectives. Incentives for risk selection of sickness funds are high in Germany and Switzerland while they are low in the Netherlands. Incentives for consumer choice are also highest in Germany and Switzerland. In all three countries sickness funds have only a few instruments of competition. The effects of competition have been disappointing so far. The objectives of competitive healthcare reforms can be achieved only if incentives for and instruments of competition consistently support competitive behaviour on the part of market actors.

Suggested Citation

  • Stefan Greβ, 2006. "Regulated Competition in Social Health Insurance: A Three‐Country Comparison," International Social Security Review, John Wiley & Sons, vol. 59(3), pages 27-47, July.
    • Handle: RePEc:wly:intssr:v:59:y:2006:i:3:p:27-47
    DOI: 10.1111/j.1468-246X.2006.00246.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1468-246X.2006.00246.x
    Download Restriction: no
    File URL: https://libkey.io/10.1111/j.1468-246X.2006.00246.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
    ---><---

    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:wly:intssr:v:59:y:2006:i:3:p:27-47. 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.

    We have no bibliographic references for this item. You can help adding them by using 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://doi.org/10.1111/(ISSN)1865-1674 .

    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.