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Managed competition in the Netherlands—A qualitative study


  • Heinemann, Stephanie
  • Leiber, Simone
  • Greß, Stefan


In 2006, the Health Insurance Act changed Dutch health insurance by implementing managed competition, whereby the health insurance market is strongly regulated by the government. The aim of the study is to investigate key stakeholders’ opinions about effects of recent changes in Dutch healthcare policy, focussing upon three important requirements for successful managed competition: risk-adjustment, consumer choice and instruments for managed care.

Suggested Citation

  • Heinemann, Stephanie & Leiber, Simone & Greß, Stefan, 2013. "Managed competition in the Netherlands—A qualitative study," Health Policy, Elsevier, vol. 109(2), pages 113-121.
  • Handle: RePEc:eee:hepoli:v:109:y:2013:i:2:p:113-121
    DOI: 10.1016/j.healthpol.2012.08.025

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    References listed on IDEAS

    1. Boonen, Lieke H. H. M. & Schut, Frederik T., 2011. "Preferred providers and the credible commitment problem in health insurance: first experiences with the implementation of managed competition in the Dutch health care system," Health Economics, Policy and Law, Cambridge University Press, vol. 6(02), pages 219-235, March.
    2. Wynand P. M. M. Van de Ven & Frederik T. Schut, 2009. "Managed competition in the Netherlands: still work-in-progress," Health Economics, John Wiley & Sons, Ltd., vol. 18(3), pages 253-255.
    3. Lieke H. H. M. Boonen & Frederik T. Schut & Xander Koolman, 2008. "Consumer channeling by health insurers: natural experiments with preferred providers in the Dutch pharmacy market," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 299-316.
    4. Schut, Frederik T., 1992. "Workable competition in health care: Prospects for the Dutch design," Social Science & Medicine, Elsevier, vol. 35(12), pages 1445-1455, December.
    5. Van de Ven, Wynand P. M. M., 2011. "Risk adjustment and risk equalization: what needs to be done?," Health Economics, Policy and Law, Cambridge University Press, vol. 6(01), pages 147-156, January.
    6. Frederik T. Schut & Wynand P. M. M. Van de Ven, 2005. "Rationing and competition in the Dutch health-care system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 59-74.
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    Cited by:

    1. Botje, Daan & Klazinga, Niek S. & Wagner, Cordula, 2013. "To what degree is the governance of Dutch hospitals orientated towards quality in care? Does this really affect performance?," Health Policy, Elsevier, vol. 113(1), pages 134-141.


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