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June 25, 2020

Evaluatie programma’s Beatrixziekenhuis en Bernhoven

Publication (in Dutch only)

Nieuwe manier van werken ziekenhuizen leidt tot doelmatiger zorg zonder kwaliteitsverlies.

June 25, 2020

Casestudie Beatrixziekenhuis en Bernhoven

Publication (in Dutch only)

Het CPB, IQ healthcare en de Nederlandse Zorgautoriteit (NZa) hebben samen een onderzoek uitgevoerd om na te gaan in hoeverre beide ziekenhuizen in de eerste drie jaar van hun programma’s de doelstelling voor een meer doelmatige zorg hebben bereikt. Dit project is uitgevoerd mede op initiatief van Bernhoven, Zorggroep Rivas en het ministerie van VWS. Dit onderzoek is gestart in 2018 en resulteert in een Policy Brief (CPB/IQ healthcare/NZa, 2020) en twee achtergronddocumenten. Eén meer kwantitatief achtergronddocument door het CPB en de NZa met een analyse van gedeclareerde verrichtingen van de beide ziekenhuizen ten opzichte van een controlegroep. Eén meer kwalitatief document door IQ healthcare (Van Dulmen et al., 2020) met daarin een analyse op ziekenhuisniveau, inclusief de beschikbare (openbare) data over kwaliteitsindicatoren en de jaarrekeningen. Het onderliggende document is het achtergronddocument van het CPB en de NZa.

May 27, 2020

Prices and market power in mental health care: Evidence from a major policy change in the Netherlands

Publication

In the Dutch health care system of managed competition, insurers and mental health providers negotiate on prices for mental health services. Contract prices are capped by a regulator who sets a maximum price for each mental health service. In 2013, the majority of the contract prices equaled these maximum prices. We study price setting after a major policy change in 2014.

September 10, 2019

Treatment responses of mental health care providers after a demand shock

Publication

This paper investigates how two different groups of Dutch mental health care providers responded to an exogenous 20% drop in the number of patients in 2012.

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August 19, 2019

Verbeteropties gemeentepolis

Publication (in Dutch only)

Gemeentepolissen zijn een groot goed, maar er zijn verbeteringen mogelijk. Het CPB doet 3 aanbevelingen.

April 25, 2019

Can your house keep you out of a nursing home?

Publication

We examine the impact of the accessibility of an older individual’s house on her use of nursing home care.

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March 15, 2019

Selection and moral hazard effects in healthcare

Publication

In 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.

January 25, 2019

CPB-Wetenschapsprijs 2018

Article (in Dutch only)

De CPB-Wetenschapsprijs wordt ieder jaar uitgereikt voor de CPB-studie van dat jaar met de hoogste wetenschappelijke impact.

November 30, 2018

The effect of reinsuring a deductible on pharmaceutical spending: A Dutch case study on low-income people

Publication

The 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.

October 18, 2018

Causes of regional variation in Dutch healthcare expenditures: evidence from movers

Publication

We 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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