Managed competition in Aotearoa New Zealand: past experiences and future prospects
Health Econ Policy Law. 2024 Feb 14:1-15. doi: 10.1017/S1744133123000403. Online ahead of print.ABSTRACTThis paper considers whether and how managed competition arrangements could be introduced into the Aotearoa health and disability system. The paper describes the key features of the system, including new organisational arrangements established from 1 July 2022. It discusses major reforms and managed competition plans that were developed in the 1990s, with the managed competition plans abandoned fairly early on, as a result of major issues with the reforms that had been implemented and with problems in designing a fair pa...
Source: Health Economics, Policy, and Law - February 14, 2024 Category: Health Management Authors: Jacqueline Cumming Source Type: research
Managed competition in Aotearoa New Zealand: past experiences and future prospects
Health Econ Policy Law. 2024 Feb 14:1-15. doi: 10.1017/S1744133123000403. Online ahead of print.ABSTRACTThis paper considers whether and how managed competition arrangements could be introduced into the Aotearoa health and disability system. The paper describes the key features of the system, including new organisational arrangements established from 1 July 2022. It discusses major reforms and managed competition plans that were developed in the 1990s, with the managed competition plans abandoned fairly early on, as a result of major issues with the reforms that had been implemented and with problems in designing a fair pa...
Source: Health Economics, Policy, and Law - February 14, 2024 Category: Health Management Authors: Jacqueline Cumming Source Type: research
Managed competition in Aotearoa New Zealand: past experiences and future prospects
Health Econ Policy Law. 2024 Feb 14:1-15. doi: 10.1017/S1744133123000403. Online ahead of print.ABSTRACTThis paper considers whether and how managed competition arrangements could be introduced into the Aotearoa health and disability system. The paper describes the key features of the system, including new organisational arrangements established from 1 July 2022. It discusses major reforms and managed competition plans that were developed in the 1990s, with the managed competition plans abandoned fairly early on, as a result of major issues with the reforms that had been implemented and with problems in designing a fair pa...
Source: Health Economics, Policy, and Law - February 14, 2024 Category: Health Management Authors: Jacqueline Cumming Source Type: research
Managed competition in Aotearoa New Zealand: past experiences and future prospects
Health Econ Policy Law. 2024 Feb 14:1-15. doi: 10.1017/S1744133123000403. Online ahead of print.ABSTRACTThis paper considers whether and how managed competition arrangements could be introduced into the Aotearoa health and disability system. The paper describes the key features of the system, including new organisational arrangements established from 1 July 2022. It discusses major reforms and managed competition plans that were developed in the 1990s, with the managed competition plans abandoned fairly early on, as a result of major issues with the reforms that had been implemented and with problems in designing a fair pa...
Source: Health Economics, Policy, and Law - February 14, 2024 Category: Health Management Authors: Jacqueline Cumming Source Type: research
Managed competition in Aotearoa New Zealand: past experiences and future prospects
Health Econ Policy Law. 2024 Feb 14:1-15. doi: 10.1017/S1744133123000403. Online ahead of print.ABSTRACTThis paper considers whether and how managed competition arrangements could be introduced into the Aotearoa health and disability system. The paper describes the key features of the system, including new organisational arrangements established from 1 July 2022. It discusses major reforms and managed competition plans that were developed in the 1990s, with the managed competition plans abandoned fairly early on, as a result of major issues with the reforms that had been implemented and with problems in designing a fair pa...
Source: Health Economics, Policy, and Law - February 14, 2024 Category: Health Management Authors: Jacqueline Cumming Source Type: research
Managed competition in Aotearoa New Zealand: past experiences and future prospects
Health Econ Policy Law. 2024 Feb 14:1-15. doi: 10.1017/S1744133123000403. Online ahead of print.ABSTRACTThis paper considers whether and how managed competition arrangements could be introduced into the Aotearoa health and disability system. The paper describes the key features of the system, including new organisational arrangements established from 1 July 2022. It discusses major reforms and managed competition plans that were developed in the 1990s, with the managed competition plans abandoned fairly early on, as a result of major issues with the reforms that had been implemented and with problems in designing a fair pa...
Source: Health Economics, Policy, and Law - February 14, 2024 Category: Health Management Authors: Jacqueline Cumming Source Type: research
Managed competition in Aotearoa New Zealand: past experiences and future prospects
Health Econ Policy Law. 2024 Feb 14:1-15. doi: 10.1017/S1744133123000403. Online ahead of print.ABSTRACTThis paper considers whether and how managed competition arrangements could be introduced into the Aotearoa health and disability system. The paper describes the key features of the system, including new organisational arrangements established from 1 July 2022. It discusses major reforms and managed competition plans that were developed in the 1990s, with the managed competition plans abandoned fairly early on, as a result of major issues with the reforms that had been implemented and with problems in designing a fair pa...
Source: Health Economics, Policy, and Law - February 14, 2024 Category: Health Management Authors: Jacqueline Cumming Source Type: research
… and in with the new
Health Econ Policy Law. 2024 Jan;19(1):1-2. doi: 10.1017/S1744133123000361. Epub 2024 Feb 13.NO ABSTRACTPMID:38348628 | DOI:10.1017/S1744133123000361 (Source: Health Economics, Policy, and Law)
Source: Health Economics, Policy, and Law - February 13, 2024 Category: Health Management Authors: Rocco Friebel Iris Wallenburg Source Type: research
Pricing of hospital services: evidence from a thematic review
This study performs a thematic synthesis of the literature and applies retrospective analysis to hospital service pricing articles to address these issues. The study's inputs were sourced from well-known online repositories, using a structured search string and PRISMA flow chart to select the pertinent documents. Our thematic analysis of pricing literature encompasses: (a) comprehension of hospital service pricing nature; (b) pricing objectives, strategies and practices differentiation; (c) presentation of factors impacting hospital service pricing. We observe that hospital pricing is an intricate and unclear matter. The t...
Source: Health Economics, Policy, and Law - February 5, 2024 Category: Health Management Authors: Andria J N Sirur Rajasekharan Pillai K Source Type: research
Healthcare reform in the Netherlands: after 15 years of regulated competition
This article discusses the results and prospects of the market reform in Dutch health care which came into force in 2006. Attention is paid to the results of the health insurance reform, the experience with the shift from passive to active purchasing and the impact of the reform on healthcare provision and cost control respectively. Other topics discussed are the consequences of the reform for administrative costs, institutional trust in health insurance, and the power balance in health care after reform. The central message is that the high expectations of the market reform have not come true. Dutch health care features a...
Source: Health Economics, Policy, and Law - February 1, 2024 Category: Health Management Authors: Hans Maarse Patrick Jeurissen Source Type: research
Preconditions for efficiency and affordability in mixed health systems: are they fulfilled in the Australian public-private mix?
Health Econ Policy Law. 2024 Jan 24:1-16. doi: 10.1017/S1744133123000336. Online ahead of print.ABSTRACTThe Australian health system is characterised by high quality care by international standards, produced by a mix of public and private provision and funding of healthcare services. Despite good overall results, three issues are of concern. The first issue relates to the public procurement of healthcare, whose flaws have impacted individuals' access to care, and the high out-of-pocket spending. The second issue concerns the sustainability of the private health insurance market, given the government's goal of relieving cos...
Source: Health Economics, Policy, and Law - January 24, 2024 Category: Health Management Authors: Chiara Berardi Pablo Arija Prieto Josefa Henr íquez Francesco Paolucci Source Type: research
Managed competition in Colombia: convergence of public and private insurance and delivery
Health Econ Policy Law. 2024 Jan 22:1-15. doi: 10.1017/S1744133123000348. Online ahead of print.ABSTRACTThe Colombian health system has made a deep transition into managed competition since a major reform in 1993. A market for insurers was created, the consumer has free choice of insurer and a national-level equalisation fund distributes revenues via a per-capita payment. Fully subsidised insurance for the poor and informal, and a comprehensive standardised benefit package for subsidised and contributory schemes (both schemes covering 98 per cent of the population), has led to a low level of out-of-pocket expenses and high...
Source: Health Economics, Policy, and Law - January 22, 2024 Category: Health Management Authors: Ramon Castano Sergio I Prada Norman Maldonado Victoria Soto Source Type: research
Managed competition in the United States: How well is it promoting equity and efficiency?
Health Econ Policy Law. 2024 Jan 8:1-15. doi: 10.1017/S174413312300035X. Online ahead of print.ABSTRACTManaged competition frameworks aim to control healthcare costs and promote access to high-quality health insurance and services through a combination of public policies and market forces. In the United States, managed competition delivery systems are varied and diffused across a patchwork of divided markets and populations. This, coupled with extremely high national health spending per capita, makes a more unified managed competition strategy an appealing alternative to a currently struggling healthcare system. We examine...
Source: Health Economics, Policy, and Law - January 8, 2024 Category: Health Management Authors: Randall P Ellis Alex Hoagland Angelique Acquatella Source Type: research
Managed competition in the United States: How well is it promoting equity and efficiency?
Health Econ Policy Law. 2024 Jan 8:1-15. doi: 10.1017/S174413312300035X. Online ahead of print.ABSTRACTManaged competition frameworks aim to control healthcare costs and promote access to high-quality health insurance and services through a combination of public policies and market forces. In the United States, managed competition delivery systems are varied and diffused across a patchwork of divided markets and populations. This, coupled with extremely high national health spending per capita, makes a more unified managed competition strategy an appealing alternative to a currently struggling healthcare system. We examine...
Source: Health Economics, Policy, and Law - January 8, 2024 Category: Health Management Authors: Randall P Ellis Alex Hoagland Angelique Acquatella Source Type: research
Managed competition in the United States: How well is it promoting equity and efficiency?
Health Econ Policy Law. 2024 Jan 8:1-15. doi: 10.1017/S174413312300035X. Online ahead of print.ABSTRACTManaged competition frameworks aim to control healthcare costs and promote access to high-quality health insurance and services through a combination of public policies and market forces. In the United States, managed competition delivery systems are varied and diffused across a patchwork of divided markets and populations. This, coupled with extremely high national health spending per capita, makes a more unified managed competition strategy an appealing alternative to a currently struggling healthcare system. We examine...
Source: Health Economics, Policy, and Law - January 8, 2024 Category: Health Management Authors: Randall P Ellis Alex Hoagland Angelique Acquatella Source Type: research
