Regulated competition in health care: Switching and barriers to switching in the Dutch health insurance system

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Regulated competition in health care: Switching and barriers to switching in the Dutch health insurance system

BACKGROUND In 2006, a number of changes in the Dutch health insurance system came into effect. In this new system mobility of insured is important. The idea is that insured switch insurers because they are not satisfied with quality of care and the premium of their insurance. As a result, insurers will in theory strive for a better balance between price and quality. The Dutch changes have caugh...

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Switching Costs in Competitive Health Insurance Markets

In this paper we investigate the possible presence of switching costs when consumers are offered the opportunity to change their basic health insurance provider. We focus on the specific case of Switzerland which implemented a pure form of competition in basic health insurance markets. We identify several barriers to switching, namely choice overload, status quo bias, the possession of suppleme...

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Health insurance and imperfect competition in the health care market.

We show that when health care providers have market power and engage in Cournot competition, a competitive upstream health insurance market results in over-insurance and over-priced health care. Even though consumers and firms anticipate the price interactions between these two markets - the price set in one market affects the demand expressed in the other - Pareto improvements are possible. Th...

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ژورنال

عنوان ژورنال: BMC Health Services Research

سال: 2011

ISSN: 1472-6963

DOI: 10.1186/1472-6963-11-95