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Beitragssatz, Kassenwettbewerb und Gesundheitsreform / Premium Rates, Competition Among Health Insurance Funds and the Health Care Reform 2007: Eine empirische Analyse / An Empirical Analysis

Author

Listed:
  • Andersen Hanfried H.

    (Technische Universität Berlin, Institut für Volkswirtschaftslehre und Wirtschaftsrecht, Straße des 17. Juni 135, 10623 Berlin, Germany)

  • Grabka Markus M.

    (DIW Berlin / SOEP, Mohrenstraße 58, 10117 Berlin, Germany)

  • Schwarze Johannes

    (Otto-Friedrich-Universität Bamberg, Fakultät für Sozial- und Wirtschaftswissenschaften, Lehrstuhl für Volkswirtschaftslehre, insb. Empirische Mikroökonomik, 96045 Bamberg, Germany Otto-Friedrich-Universität Bamberg, Fakultät für Sozial- und Wirtschaftswissenschaften, Lehrstuhl für Volkswirtschaftslehre, insb. Empirische Mikroökonomik, 96045 Bamberg, Germany. DIW Berlin und IZA Bonn)

Abstract

The premium rates paid for statutory health insurance in Germany play a key role in the competition among health care funds. With the most recent health care reform (GKV-Wettbewerbsstärkungsgesetz GKV-WSG), a range of new products have been introduced that could erode the advantageous selling proposition of the premium rates. In addition to the pure monetary incentive to change health insurance provider, the new products include aspects that are becoming increasingly important to insured persons, such as the assessment of their own morbidity and the level and quality of health care provision. We find that current morbidity, experiences in morbidity, and expectations about morbidity will gain in importance when choosing health care provider.Using micro-data for the years 1999 to 2004 from the German Socio-Economic Panel study (SOEP), we investigate the willingness to change health provider in a multivariate setting. The SOEP data will be matched with register information about premium rates of all statutory health insurance funds in Germany. Applying a multinomial logit model, we show that there are two prototypes of insured people who change funds. The characteristics of those who changed funds can be used to evaluate the future developments in statutory health insurance in Germany, assuming that customer mobility will continue to increase.

Suggested Citation

  • Andersen Hanfried H. & Grabka Markus M. & Schwarze Johannes, 2007. "Beitragssatz, Kassenwettbewerb und Gesundheitsreform / Premium Rates, Competition Among Health Insurance Funds and the Health Care Reform 2007: Eine empirische Analyse / An Empirical Analysis," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 227(5-6), pages 429-450, October.
    • Handle: RePEc:jns:jbstat:v:227:y:2007:i:5-6:p:429-450
    DOI: 10.1515/jbnst-2007-5-603
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    References listed on IDEAS

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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. Johannes Schwarze & Hanfried H. Andersen, 2001. "Kassenwechsel in der gesetzlichen Krankenversicherung: welche Rolle spielt der Beitragssatz?," Discussion Papers of DIW Berlin 267, DIW Berlin, German Institute for Economic Research.
    3. Goebel Jan & Grabka Markus M. & Liebig Stefan & Kroh Martin & Richter David & Schröder Carsten & Schupp Jürgen, 2019. "The German Socio-Economic Panel (SOEP)," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 239(2), pages 345-360, April.
    4. Reiners, Hartmut, 2006. "Der Homo oeconomicus im Gesundheitswesen," Discussion Papers, Research Group Public Health SP I 2006-305, WZB Berlin Social Science Center.
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    Cited by:

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    2. Schröder, Carsten & König, Johannes & Fedorets, Alexandra & Goebel, Jan & Grabka, Markus M. & Lüthen, Holger & Metzing, Maria & Schikora, Felicitas & Liebig, Stefan, 2020. "The economic research potentials of the German Socio-Economic Panel study," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 21(3), pages 335-371.

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