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The German Central Health Fund—Recent developments in health care financing in Germany

Listed author(s):
  • Göpffarth, Dirk
  • Henke, Klaus-Dirk
Registered author(s):

    In 2009, Germany's Statutory Health Insurance System underwent a major financing reform. A uniform contribution rate set by government was introduced. Sickness funds retain only limited autonomy in charging additional premiums. A dynamic subsidy from general revenue was introduced. The aims of the reform were: (1) intensifying competition, (2) gearing competition towards quality and efficiency, and (3) increasing financial sustainability. This article describes the reform, presents the experiences made, and evaluates whether the policy aims have been met.

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    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 109 (2013)
    Issue (Month): 3 ()
    Pages: 246-252

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    Handle: RePEc:eee:hepoli:v:109:y:2013:i:3:p:246-252
    DOI: 10.1016/j.healthpol.2012.11.001
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    1. Henke, Klaus-Dirk, 2007. "Der Gesundheitsfonds: Politökonomische Aspekte und seine Rolle als Wettbewerbsinstrument," Discussion Papers 2007/1, Technische Universität Berlin, School of Economics and Management.
    2. Buchner, Florian & Goepffarth, Dirk & Wasem, Juergen, 2013. "The new risk adjustment formula in Germany: Implementation and first experiences," Health Policy, Elsevier, vol. 109(3), pages 253-262.
    3. Or, Zeynep & Cases, Chantal & Lisac, Melanie & Vrangbæk, Karsten & Winblad, Ulrika & Bevan, Gwyn, 2010. "Are health problems systemic? Politics of access and choice under Beveridge and Bismarck systems," Health Economics, Policy and Law, Cambridge University Press, vol. 5(03), pages 269-293, July.
    4. Lisac, Melanie & Reimers, Lutz & Henke, Klaus-Dirk & Schlette, Sophia, 2010. "Access and choice – competition under the roof of solidarity in German health care: an analysis of health policy reforms since 2004," Health Economics, Policy and Law, Cambridge University Press, vol. 5(01), pages 31-52, January.
    5. Peter Eibich & Hendrik Schmitz & Nicolas R. Ziebarth, 2012. "Add-On Premiums Increase Price Transparency: More Policy Holders Switch Health Plans," DIW Economic Bulletin, DIW Berlin, German Institute for Economic Research, vol. 2(2), pages 15-24.
    6. Buchner, Florian & Wasem, Jurgen, 2003. "Needs for further improvement: risk adjustment in the German health insurance system," Health Policy, Elsevier, vol. 65(1), pages 21-35, July.
    7. Markus Wörz & Reinhard Busse, 2005. "Analysing the impact of health-care system change in the EU member states - Germany," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 133-149.
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