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Die Reform des Risikostrukturausgleichs: Eine Zwischenbilanz

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  • Göpffarth, Dirk
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    Das Gesetz zur Reform des Risikostrukturausgleichs in der Gesetzlichen Krankenversicherung aus dem Jahr 2001 umfasste zwei kurzfristige Maßnahmen, um den Risikostrukturausgleich stärker zu fokussieren: Der "Risikopool" als solidarische Finanzierung besonders aufwändiger Leistungsfälle und die Einbindung der strukturierten Behandlungsprogramme. Gleichzeitig wurde ein Zeitplan zur Einführung einer direkten Morbiditätsorientierung im Risikostrukturausgleich gesetzlich verankert. Der vorliegende Beitrag untersucht die Auswirkungen der kurzfristigen Maßnahmen und prüft, ob die langfristige Agenda noch zeitgemäß ist. Es wird gezeigt, dass die kurzfristigen Maßnahmen zwar bislang wenige Auswirkungen hatten, aber dass die direkte Morbiditätsorientierung umso notwendiger ist.

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    Paper provided by Technische Universität Berlin, School of Economics and Management in its series Discussion Papers with number 2004/18.

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    Date of creation: 2004
    Handle: RePEc:zbw:tubsem:200418
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    1. Friedrich Breyer & Mathias Kifmann, 2001. "Optionen der Weiterentwicklung des Risikostrukturausgleichs in der GKV," Discussion Papers of DIW Berlin 236, DIW Berlin, German Institute for Economic Research.
    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. Arlene Ash & Randall P. Ellis & Gregory Pope & John Ayanian & David Bates & Helen Burstin & Lisa Iezzoni & Elizabeth McKay & Wei Yu, 2000. "Using Diagnoses to Describe Populations and Predict Costs," Papers 0099, Boston University - Industry Studies Programme.
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