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Competition in Social Health Insurance: A Three-Country Comparison

  • Greß, Stefan
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    The objectives guiding health care reforms in Germany, Switzerland and the Netherlands were to increase efficiency and consumer satisfaction in the provision of health care services. This paper sums up incentives and instruments of competition for consumers, sickness funds and health care providers in Germany, Switzerland and the Netherlands which are necessary to fulfill these objectives. Incentives for risk selection of sickness funds are high in Germany and Switzerland while they are low in the Netherlands. Incentives for consumer choice are also highest in Germany and Switzerland. In all three countries sickness funds have only few instruments for competition. The effects of competition have been disappointing so far. The objectives of competitive health care reforms can only be achieved if incentives and instruments for competition consistently support competitive behavior of market actors.

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    Paper provided by University of Duisburg-Essen, Institute of Business and Economic Studie (IBES) in its series IBES Diskussionsbeiträge with number 135.

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    Date of creation: 2004
    Date of revision:
    Handle: RePEc:zbw:udewwd:135
    Contact details of provider: Postal: Universitätsstrasse 12, 45117 Essen
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    1. Clausen, Volker & Wohltmann, Hans-Werner, 2002. "Monetary and fiscal policy dynamics in an asymmetric monetary union," IBES Diskussionsbeiträge 119, University of Duisburg-Essen, Institute of Business and Economic Studie (IBES).
    2. Bernd Hayo & Doh Chull Shin, 2002. "Popular Reaction to the Intervention by the IMF in the Korean Economic Crisis," Journal of Economic Policy Reform, Taylor & Francis Journals, vol. 5(2), pages 89-100.
    3. Kladroba, Andreas & von der Lippe, Peter, 2001. "Die Qualität von Aktienempfehlungen in Publikumszeitschriften," IBES Diskussionsbeiträge 117, University of Duisburg-Essen, Institute of Business and Economic Studie (IBES).
    4. Gre[ss], Stefan & Groenewegen, Peter & Kerssens, Jan & Braun, Bernard & Wasem, Juergen, 2002. "Free choice of sickness funds in regulated competition: evidence from Germany and The Netherlands," Health Policy, Elsevier, vol. 60(3), pages 235-254, June.
    5. Wohltmann, Hans-Werner & Clausen, Volker, 2002. "Foreign price shocks and monetary policy in an asymmetric monetary union," IBES Diskussionsbeiträge 124, University of Duisburg-Essen, Institute of Business and Economic Studie (IBES).
    6. Kempa, Bernd, 2003. "An oversimplified inquiry into the sources of exchange rate variability," IBES Diskussionsbeiträge 129, University of Duisburg-Essen, Institute of Business and Economic Studie (IBES).
    7. Hayo, Bernd & Seifert, Wolfgang, 2003. "Subjective economic well-being in Eastern Europe," Journal of Economic Psychology, Elsevier, vol. 24(3), pages 329-348, June.
    8. Corinne Behrend & Florian Buchner & Michael Happich & Rolf Holle & Peter Reitmeir & Jürgen Wasem, 2007. "Risk-adjusted capitation payments: how well do principal inpatient diagnosis-based models work in the German situation? Results from a large data set," The European Journal of Health Economics, Springer, vol. 8(1), pages 31-39, March.
    9. von der Lippe, Peter, 2003. "Zur Interpretation gesamtwirtschaftlicher Produktions- und Einkommensgrößen der deutschen volkswirtschaftlichen Gesamtrechnung nach dem SNA 93/ESVG 95," IBES Diskussionsbeiträge 126, University of Duisburg-Essen, Institute of Business and Economic Studie (IBES).
    10. Dewenter, Ralf & Westermann, Michael, 2003. "Cinema demand in Germany," IBES Diskussionsbeiträge 125, University of Duisburg-Essen, Institute of Business and Economic Studie (IBES).
    11. von der Lippe, Peter, 2003. "Das Identifikationsproblem in der Ökonometrie," IBES Diskussionsbeiträge 127, University of Duisburg-Essen, Institute of Business and Economic Studie (IBES).
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