Concurrence entre assureurs, entre prestataires et monopole naturel
Abstract[eng] Competition among Insurers and Service Providers and Natural Monopolies . An International Review of Health Measures. . The study of different countries, health systems talks a great deal about health insurance competition (Singapore, Chile and even the United States). Such competition could harbour a substantial risk of inequity. However, American managed care and British fundholding both show that the health supply can be rationalised without necessarily, undermining 'service quality. Can competitive mechanisms make health care more efficient without losing social security funding? Germany and the Netherlands are currently trying this out: . The apparently most efficient measures are based on a multi-skills regulator. This regulator guarantees service quality by introducing standardised criteria and checking that the profits made by the competing health insurers and groups come from rationalising the productive process rather than the self-selection of patients by their level of risk. Avoiding this pitfall requires in-depth thinking on the level of cover that agents can or should guarantee and how to remunerate competing agents. The Americans and British have found it efficient to get doctors highly involved in risk management, even though this demands additional skills, especially in data processing. [ger] Wettbewerb zwischen versicherern, zwischen leistungserbringern und natûrlichem monopol . Ein Ûberblick uber die auslàndischen Erfahrungen im Gesundheitswesen . Die Untersuchung der Gesundheitssysteme der Lànder, in denen dem Wettbewerb bei der Krankenversicherung
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoArticle provided by Programme National Persée in its journal Economie et statistique.
Volume (Year): 328 (1999)
Issue (Month): 1 ()
Contact details of provider:
Web page: http://www.persee.fr/web/revues/home/prescript/revue/estat
You can help add them by filling out this form.
reading list or among the top items on IDEAS.Access and download statisticsgeneral information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Equipe PERSEE).
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 references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.