Changing roles of health insurers in France, Germany, and the Netherlands: any lessons to learn from Bismarckian systems?
Health Econ Policy Law. 2023 Sep 7:1-15. doi: 10.1017/S1744133123000191. Online ahead of print.ABSTRACTBismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health systems' efficiency. In France, insurers work together as a single payer within a highly regulated context. Although this gives insurers substantial bargaining power, collective negotiations with providers are highly political and do not provide appropriate incentives for ...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Frederik T Schut Cornelia Henschke Zeynep Or Source Type: research
Financial risk protection in private health insurance: empirical evidence on catastrophic and impoverishing spending from Germany's dual insurance system
This study provides evidence on financial protection in PHI for the case of Germany's dual insurance system of PHI and SHI, where PHI covers 11% of the population. Linked survey and claims data of PHI insureds (n = 3105) and population-wide household budget data (n = 42,226) are used to compute the prevalence of catastrophic health expenditures (CHE), i.e. the share of households whose out-of-pocket payments either exceed 40% of their capacity-to-pay or push them (further) into poverty. Despite comparatively high out-of-pocket payments, CHE is low in German PHI. It only affects the poor. Key to low financial burden seems t...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Philipp Hengel Miriam Bl ümel Martin Siegel Katharina Achstetter Julia K öppen Reinhard Busse Source Type: research
Changing roles of health insurers in France, Germany, and the Netherlands: any lessons to learn from Bismarckian systems?
Health Econ Policy Law. 2023 Sep 7:1-15. doi: 10.1017/S1744133123000191. Online ahead of print.ABSTRACTBismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health systems' efficiency. In France, insurers work together as a single payer within a highly regulated context. Although this gives insurers substantial bargaining power, collective negotiations with providers are highly political and do not provide appropriate incentives for ...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Frederik T Schut Cornelia Henschke Zeynep Or Source Type: research
Financial risk protection in private health insurance: empirical evidence on catastrophic and impoverishing spending from Germany's dual insurance system
This study provides evidence on financial protection in PHI for the case of Germany's dual insurance system of PHI and SHI, where PHI covers 11% of the population. Linked survey and claims data of PHI insureds (n = 3105) and population-wide household budget data (n = 42,226) are used to compute the prevalence of catastrophic health expenditures (CHE), i.e. the share of households whose out-of-pocket payments either exceed 40% of their capacity-to-pay or push them (further) into poverty. Despite comparatively high out-of-pocket payments, CHE is low in German PHI. It only affects the poor. Key to low financial burden seems t...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Philipp Hengel Miriam Bl ümel Martin Siegel Katharina Achstetter Julia K öppen Reinhard Busse Source Type: research
Improving access to healthcare in Ireland: an implementation failure
Health Econ Policy Law. 2023 Aug 22:1-11. doi: 10.1017/S1744133123000130. Online ahead of print.ABSTRACTThere are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implemen...
Source: Health Economics, Policy, and Law - August 22, 2023 Category: Health Management Authors: Sheelah Connolly Source Type: research
Improving access to healthcare in Ireland: an implementation failure
Health Econ Policy Law. 2023 Aug 22:1-11. doi: 10.1017/S1744133123000130. Online ahead of print.ABSTRACTThere are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implemen...
Source: Health Economics, Policy, and Law - August 22, 2023 Category: Health Management Authors: Sheelah Connolly Source Type: research
Improving access to healthcare in Ireland: an implementation failure
Health Econ Policy Law. 2023 Aug 22:1-11. doi: 10.1017/S1744133123000130. Online ahead of print.ABSTRACTThere are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implemen...
Source: Health Economics, Policy, and Law - August 22, 2023 Category: Health Management Authors: Sheelah Connolly Source Type: research
Improving access to healthcare in Ireland: an implementation failure
Health Econ Policy Law. 2023 Aug 22:1-11. doi: 10.1017/S1744133123000130. Online ahead of print.ABSTRACTThere are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implemen...
Source: Health Economics, Policy, and Law - August 22, 2023 Category: Health Management Authors: Sheelah Connolly Source Type: research
Improving access to healthcare in Ireland: an implementation failure
Health Econ Policy Law. 2023 Aug 22:1-11. doi: 10.1017/S1744133123000130. Online ahead of print.ABSTRACTThere are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implemen...
Source: Health Economics, Policy, and Law - August 22, 2023 Category: Health Management Authors: Sheelah Connolly Source Type: research
Improving access to healthcare in Ireland: an implementation failure
Health Econ Policy Law. 2023 Aug 22:1-11. doi: 10.1017/S1744133123000130. Online ahead of print.ABSTRACTThere are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implemen...
Source: Health Economics, Policy, and Law - August 22, 2023 Category: Health Management Authors: Sheelah Connolly Source Type: research
Improving access to healthcare in Ireland: an implementation failure
Health Econ Policy Law. 2023 Aug 22:1-11. doi: 10.1017/S1744133123000130. Online ahead of print.ABSTRACTThere are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implemen...
Source: Health Economics, Policy, and Law - August 22, 2023 Category: Health Management Authors: Sheelah Connolly Source Type: research
Improving access to healthcare in Ireland: an implementation failure
Health Econ Policy Law. 2023 Aug 22:1-11. doi: 10.1017/S1744133123000130. Online ahead of print.ABSTRACTThere are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implemen...
Source: Health Economics, Policy, and Law - August 22, 2023 Category: Health Management Authors: Sheelah Connolly Source Type: research
Improving access to healthcare in Ireland: an implementation failure
Health Econ Policy Law. 2023 Aug 22:1-11. doi: 10.1017/S1744133123000130. Online ahead of print.ABSTRACTThere are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implemen...
Source: Health Economics, Policy, and Law - August 22, 2023 Category: Health Management Authors: Sheelah Connolly Source Type: research
Improving access to healthcare in Ireland: an implementation failure
Health Econ Policy Law. 2023 Aug 22:1-11. doi: 10.1017/S1744133123000130. Online ahead of print.ABSTRACTThere are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implemen...
Source: Health Economics, Policy, and Law - August 22, 2023 Category: Health Management Authors: Sheelah Connolly Source Type: research
Improving access to healthcare in Ireland: an implementation failure
Health Econ Policy Law. 2023 Aug 22:1-11. doi: 10.1017/S1744133123000130. Online ahead of print.ABSTRACTThere are significant barriers to accessing health and social care services in Ireland including high user charges, long waits and limited availability of some services. While a number of reform proposals have committed to improving access to health care, implementation of these proposals has been limited. The aim of this paper is to identify and discuss policy implementation failures concerned with improving access to health and social care services in Ireland. Four potential reasons for the repeated failure to implemen...
Source: Health Economics, Policy, and Law - August 22, 2023 Category: Health Management Authors: Sheelah Connolly Source Type: research
