provider competition/health care markets and medical workforce Flashcards
what is the risk equalization system
Insurance get extra money from the government to cover costs when they have a lot of sick insurers.the government does this to avoid risk selection
what are the most important features of the Dutch system
health insurers : freedom to contract with health care providers
no exclusion for basic insurance
risk equalization system
mandatory basic insurance
insured: switching once a year
compulsory deductible
what is risk selection
insurance companies would only select healthy clients
what are 5 conditions for managed competition
free consumer choice insurer consumer information and market transparancy risk bearing buyers and sellers contestable markets freedom to contract and integrate
what are the conditions of a perfect competition
buyers and sellers are price takers homogenous products perfect information ( price and quality ) no barriers to enter no externalities
what does competition do
it stimulates efficiency which is one goal of the healthcare system : to be efficient . a competition can go together with equity
what is the difference between ex post moral hazard and ex ante moral hazard
ex post : can be from the patient but also from the provider. Patient has some fysio over and wants to use it
ex ante : before you use care you may have a different behaviour because you know you’re insured for example skieën cuz when you break a leg you’re insured
explain how health care competition is influenced by market envirnment
uitleg volgt nog
why do hospitals invest in technology ?
To get more market power and bargain with insurances for reimbursment.
explain how health care competition is influenced by hospital competition
uitleg volgt
what are the conditions for provider self disclosure and quality
- disclosure had a mild to no effect on shifting market share
disclosure had a mild to no effect on quality
what are the consequences of disclosure of quality
- In general disclosure had a mild to no effect on shifting market share
- In general disclosure had a mild to no effect on quality
what is the purpose of competition among health care providers and or insurers,regulated by the government
to achieve society’s goals : access,quality and affodability of health care
what happens if prices are regulated
if prices are fixed,regulated firms can only increase market share by providing a higher quality . as firms compete on quality this means that competition will lead to higher quality
some care professionals have some market power and may influence prices. why ? and give an example
when there is a monopoly,price will go up and volume goes down with a sub optimal quality. for example dentists, GP.
