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Are substitute services a barrier to controlling long-term care expenditures?
PublicationHerberekening budgettaire effecten abonnementstarief in de Wmo
Publication (in Dutch only)Does managed competition constrain hospitals’ contract prices? Evidence from the Netherlands
PublicationIn 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. →
Competition and pricing behavior in long term care markets: Evidence from the Market for Assistance in Daily Housekeeping Activities
PublicationExploiting 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. →
Cost-Sharing Design Matters: A Comparison of the Rebate and Deductible in Healthcare
PublicationSince 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. →
Co-payments in long-term home care: do they affect the use of care?
PublicationWe 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. →
Toelichting middellangetermijn (mlt)-raming voor de Wmo / jeugd
Publication (in Dutch only)Premium levels and demand response in health insurance: relative thinking and zero-price effects
PublicationIn 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. →
Actualisatie Middellangetermijnverkenning 2018-2021
Publication (in Dutch only)Deze CPB Notitie geeft een nadere actualisatie van de Middellangetermijnverkenning 2018-2021. De notitie beschrijft het economische en budgettaire beeld voor de periode 2018-2021 en geeft vervolgens een overzicht van de verschillen ten opzichte van de verkenning uit maart 2017. Belangrijke wijzigingen ten opzichte van de vorige verkenning vormen de hogere groei op korte termijn en het kwaliteitskader verpleeghuiszorg. →
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