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GMG, Kopfpauschalen und Bürgerversicherungen: Der aktuelle Reformstand und seine intergenerativen Verteilungswirkungen

Author

Listed:
  • Stefan Fetzer
  • Christian Hagist

Abstract

The new law "GKV-Modernisierungsgesetz" was introduced in 2003 to stabilize the expenditures of the German public health sector in a long-term perspective. Two alternative reform proposals, "Kopfpauschalen" and "Bürgerversicherung", have also been put forward to secure the financing of the public health sector in the long run. Using a generational accounting approach we show that the "GKV-Modernisierungsgesetz" has not succeeded in achieving this goal. To analyze the reform proposals "Kopfpauschalen" and "Bürgerversicherung", we give a structured comparison of current political commissions concepts. The analysis shows that these concepts as well as the new law all fail to meet the goal of sustainable financing. Furthermore we point out the intergenerational distribution effects induced by the new law and the reform concepts.

Suggested Citation

  • Stefan Fetzer & Christian Hagist, 2004. "GMG, Kopfpauschalen und Bürgerversicherungen: Der aktuelle Reformstand und seine intergenerativen Verteilungswirkungen," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 124(3), pages 387-420.
  • Handle: RePEc:aeq:aeqsjb:v124_y2004_i3_q3_p387-420
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    Citations

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    Cited by:

    1. Stefan Fetzer & Christian Hagist & Bernd Raffelhüschen, 2004. "Was bringen Bürgerversicherung und Gesundheitsprämie wirklich?," ifo Schnelldienst, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 57(15), pages 03-07, August.
    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. Hagist, Christian & Klusen, Norbert & Plate, Andreas & Raffelhüschen, Bernd, 2005. "Social health insurance: The major driver of unsustainable fiscal policy?," FZG Discussion Papers 1, University of Freiburg, Research Center for Generational Contracts (FZG).

    More about this item

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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