| Titre | The Netherlands: reform of the health system based on competition and privatisation | |
|---|---|---|
| Auteur | Cohu Sylvie, Lequet-Slama Diane, Volovitch Pierre | |
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Revue | Revue française des Affaires sociales |
| Numéro | no 6, 2006 Reforms and regulation of health care systems in Europe | |
| Rubrique / Thématique | Reforms implemented in several European countries |
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| Page | 207-226 | |
| Résumé anglais |
Reform of the Dutch health system, which began in 2006, is based on the introduction of competitive mechanisms within the general curative care compartment. On 1 January 2006, the distinction between public health funds and private insurance funds ended and health insurance became privatised. The Dutch freely chose their health insurer and pay a premium that is no longer income-based, but varies according to the insurers and the policy chosen. The public authorities, who are aware of the problems posed by a mechanism that could allow health insurers to practise risk selection, have implemented various measures intended to balance relationships between the different players: a risk equalisation system, a standard health basket, mandatory insurance for all and prohibition of the differentiation of premiums in relation to risk.Several issues remain, nonetheless: the effectiveness of tax measures taken to compensate the non-redistributive effects of a flat-rate premium that penalises even more on the poorest, the quality of information for the insured in order to allow them to make a clear choice and the effectiveness of turning insurers into health care operators capable of negotiating with professionals not only regarding rates, but also regarding quality. Source : Éditeur (via Cairn.info) |
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| Article en ligne | http://www.cairn.info/article.php?ID_ARTICLE=RFAS_EN606_0207 |
