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Middellangetermijnverkenning zorg 2022-2025
Publication (in Dutch only)Deze CPB Notitie bevat de middellangetermijnraming van de zorguitgaven (mlt zorg) in de periode 2022-2025 en een toelichting op de hiervoor gebruikte methode. Deze raming is input voor de middellangetermijnraming 2022-2025 van de Nederlandse economie, die op zijn beurt mede dient als bouwsteen voor de komende houdbaarheidsstudie van het CPB in december. Verder is deze raming input voor de zorgraming in de komende kabinetsperiode. →
Doorrekening SP-voorstel voor een alternatieve financiering van de Zvw
Publication (in Dutch only)Decentrale bekostiging beschermd wonen: aanvullende informatie
Publication (in Dutch only)Selection and moral hazard effects in healthcare
PublicationIn the Netherlands, average healthcare expenditures of persons without a voluntary deductible are twice as high as average healthcare expenditures of persons with a voluntary deductible. When assessing the effects of voluntary cost-sharing in healthcare on healthcare expenditures, it is important to disentangle moral hazard from selection: are healthcare expenditures low because people pay (a bigger share of) their healthcare expenditures out-of-pocket? Or are people with higher cost-sharing levels healthier? In this study, we separate selection from moral hazard for the combined mandatory and voluntary deductible in the Netherlands. We use proprietary claims data from Dutch health insurers and exploit with a panel regression discontinuity design that we can observe healthcare expenditures before and after the deductibles kick in for 18 year olds. →
The effect of reinsuring a deductible on pharmaceutical spending: A Dutch case study on low-income people
PublicationThe basic health insurance in the Netherlands includes a mandatory deductible of currently 385 euros per adult per year. Several municipalities offer a group contract for low-income people in which the deductible is reinsured, meaning that out-of-pocket spending under the deductible is covered by supplementary insurance. This study examines to what extent such reinsurance leads to higher pharmaceutical spending. →
Causes of regional variation in Dutch healthcare expenditures: evidence from movers
PublicationWe assess the relative importance of demand and supply factors as determinants of regional variation in healthcare expenditures in the Netherlands. Our empirical approach follows individuals who migrate between regions. We use individual data on annual healthcare expenditures for the entire Dutch population between the years 2006 and 2013. →
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- Rudy Douven (43)
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