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September 13, 2018

Are substitute services a barrier to controlling long-term care expenditures?


We show that this reform not only affected consumption of this care type, but also the consumption of three other types of long-term care that are financed through another public scheme.

July 10, 2018

Analyse actieprogramma ‘Werken in de Zorg’

Publication (in Dutch only)

Het CPB heeft op verzoek van PVV, GroenLinks, SP, PvdA, 50PLUS, DENK, SGP en FVD het actieprogramma ‘Werken in de zorg’ geanalyseerd. Naast de budgettaire effecten komen ook de programma-effecten (het effect op de werkgelegenheid in de zorg) van het actieprogramma aan bod.

June 1, 2018

Herberekening budgettaire effecten abonnementstarief in de Wmo

Publication (in Dutch only)

Het ministerie van Volksgezondheid, Welzijn en Sport heeft nieuwe cijfers ontvangen over de Wet maatschappelijke ondersteuning (Wmo). Op verzoek van het ministerie heeft het Centraal Planbureau daarom de budgettaire effecten van het abonnementstarief in de Wmo opnieuw berekend.

March 29, 2018

Does managed competition constrain hospitals’ contract prices? Evidence from the Netherlands


In the Dutch health care system health insurers negotiate with hospitals about the pricing of hospital products in a managed competition framework. In this paper, we study these contract prices that became for the first time publicly available in 2016. The data show substantive price variation between hospitals for the same products, and within a hospital for the same product across insurers.

February 8, 2018

Competition and pricing behavior in long term care markets: Evidence from the Market for Assistance in Daily Housekeeping Activities


Exploiting a rich data set on the Dutch market for assistance in daily housekeeping activities (ADHA), we find that larger providers obtain a higher price than do small providers. However, compared to other studies on market power in care markets this price difference is considered small to moderate.

December 7, 2017

Cost-Sharing Design Matters: A Comparison of the Rebate and Deductible in Healthcare


Since 2006, the Dutch population has faced two different cost-sharing schemes in health insurance for curative care: a mandatory rebate of 255 euros in 2006 and 2007, and since 2008 a mandatory deductible. Using administrative data for the entire Dutch population, we compare the effect of both cost-sharing schemes on healthcare consumption between 2006 and 2013.

November 3, 2017

Co-payments in long-term home care: do they affect the use of care?


We study the effect of a policy change in co-payments on the use of long-term home care in The Netherlands. The change increased co-payments for persons with considerable household financial assets. For identification we apply a difference-in-difference analysis with matched treatment and control groups.

October 18, 2017

Toelichting middellangetermijn (mlt)-raming voor de Wmo / jeugd

Publication (in Dutch only)

Deze CPB Notitie geeft een nadere toelichting op de totstandkoming en methodiek van de middellangetermijn (mlt)-raming voor de Wmo/jeugd en de interpretatie van de uitkomsten.

October 12, 2017

Premium levels and demand response in health insurance: relative thinking and zero-price effects


In health care systems with a competitive health insurance market, governments or other sponsors (e.g. employers) often subsidize premiums to encourage enrolment. These subsidies are typically independent of plan choice leaving the absolute premium differences in place so as not to distort consumer choice of plan.

May 18, 2017

De introductie van dure technologie in de zorg

Publication (in Dutch only)

Nieuwe medische technologie kan veel gezondheidswinst opleveren. Toch is niet altijd even duidelijk of en in welke mate er sprake is van gezondheidswinst.