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

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  • 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
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    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.
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    Citations

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    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, January.
    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. Peter Zweifel, 2006. "Auftrag und Grenzen der Sozialen Krankenversicherung," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 7(s1), pages 5-26, May.
    4. repec:jns:jbstat:v:227:y:2007:i:1:p:27-48 is not listed on IDEAS

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