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Concurrence entre assureurs, entre prestataires et monopole naturel

  • Dominique Polton
  • Ronan Mahieu
  • Michel Grignon
  • Agnès Bocognano
  • Agnès Couffinhal

[eng] Competition among Insurers and Service Providers and Natural Monopolies . An International Review of Health Measures. . The study of different countries, health systems talks a great deal about health insurance competition (Singapore, Chile and even the United States). Such competition could harbour a substantial risk of inequity. However, American managed care and British fundholding both show that the health supply can be rationalised without necessarily, undermining 'service quality. Can competitive mechanisms make health care more efficient without losing social security funding? Germany and the Netherlands are currently trying this out: . The apparently most efficient measures are based on a multi-skills regulator. This regulator guarantees service quality by introducing standardised criteria and checking that the profits made by the competing health insurers and groups come from rationalising the productive process rather than the self-selection of patients by their level of risk. Avoiding this pitfall requires in-depth thinking on the level of cover that agents can or should guarantee and how to remunerate competing agents. The Americans and British have found it efficient to get doctors highly involved in risk management, even though this demands additional skills, especially in data processing. [ger] Wettbewerb zwischen versicherern, zwischen leistungserbringern und natûrlichem monopol . Ein Ûberblick uber die auslàndischen Erfahrungen im Gesundheitswesen . Die Untersuchung der Gesundheitssysteme der Lànder, in denen dem Wettbewerb bei der Krankenversicherung

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Article provided by Programme National Persée in its journal Economie et statistique.

Volume (Year): 328 (1999)
Issue (Month): 1 ()
Pages: 21-36

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Handle: RePEc:prs:ecstat:estat_0336-1454_1999_num_328_1_6342
Note: DOI:10.3406/estat.1999.6342
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