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Healthcare Reforms in Bulgaria: Towards Diagnosis and Prescription

Listed author(s):
  • Pashev, Konstantin

The paper studies the policy response to the market failures and challenges of healthcare in transition. Bulgaria chose a halfway shift from healthcare services provided entirely by the state to a system with private providers of outpatient services and public providers of inpatient services, both sectors financed mainly by state-run compulsory payroll insurance system. The paper shows the evolution of this reform path to low compliance by both customers (contributors) and service-providers (contractors with the National Health Insurance Fund), which leads to excessive regulations and control, and crowding out of the private sector. The outcome is a system that is increasingly driven by administrative controls at the expense of market incentives. Based on this analysis it identifies the relevant policy implications and opportunities for moving the stalled health reforms out of the institutional impasse.

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Paper provided by University Library of Munich, Germany in its series MPRA Paper with number 999.

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Date of creation: May 2006
Publication status: Published in CSD Working Paper WP 0605 En (2006): pp. 1-36
Handle: RePEc:pra:mprapa:999
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