Finanzierungsreform und Risikostrukturausgleich - Was bleibt vom Ausgleichsverfahren?
In Germany, there is an ongoing debate on how to finance the statutory health insurance (SHI). Proposals include a "civic insurance" with a contribution rate drawn on a broader base and capitated payments. This debate will not subside with the recently issued white paper on health care reform, since fundamental issues were left open. This article does not develop a further variant of the discussed models. Instead, the components of which the future finance reform will have to consist are isolated and discussed with regard to their influence on the risk adjustment (RSA) scheme. The discussed topics are the differences between contribution rates and capitated payments, funded vs. pay-as-you-go systems, the question of whom to include in the statutory health insurance and central vs. decentralised collection of payments. This new perspective does not only allow conclusion on how the RSA scheme ought to be constructed in the future, it can also be shown which role the scheme has as framework for competition and for a possibly partially funded health insurance system.
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Volume (Year): 227 (2007)
Issue (Month): 1 (February)
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- Richter, Wolfram F., 2005. "Gesundheitsprämie oder Bürgerversicherung? Ein Kompromissvorschlag," Wirtschaftsdienst – Zeitschrift für Wirtschaftspolitik (1998 - 2007), ZBW – German National Library of Economics / Leibniz Information Centre for Economics, vol. 85(11), pages 693-697.
- Wolfgang Buchholz, 2005. "A Note on Financing Health-Care Reform: Some Simple Arguments Concerning Marginal Tax Burden," FinanzArchiv: Public Finance Analysis, Mohr Siebeck, Tübingen, vol. 61(3), pages 438-, November.
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