Titre | Systèmes mixtes d'assurance maladie, équité, gestion du risque et maîtrise des coûts | |
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Auteur | Stéphane Jacobzone | |
Revue | Economie et prévision | |
Numéro | no 129-130, 1997/3-4 Nouvelles approches micro-économiques de la santé | |
Rubrique / Thématique | Nouvelles approches micro-économiques de la santé Les enjeux de la régulation |
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Page | 189-205 | |
Résumé anglais |
Mixed Health-Insurance Systems, Equity, Risk Management and Cost Control
by Stéphane Jacobzone
This paper studies the mixed nature of health-insurance systems, listing the various arguments in favour of state intervention. The latter include the redistribution principle and potential dysfunctions in insurance systems. The importance of collective-choice models for understanding the nature of balances is demonstrated. This makes it possible to address problems relating to incentive management in health-insurance systems. Of the factors which affect expenditure patterns, the interaction between insurers/payers and care providers would seem to be determining, especially as regards the pace and type of technological innovation encouraged by reimbursement. A discussion of organisational forms shows the advantage of integrated methods of social security coverage, possibly coupled with development of lump-sum payments for the providers. Source : Éditeur (via Persée) |
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Article en ligne | http://www.persee.fr/web/revues/home/prescript/article/ecop_0249-4744_1997_num_129_3_5873 |