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March 29, 2018

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

Publication

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.

October 12, 2017

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

Publication

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.

February 24, 2017

Switching gains and health plan price elasticities: 20 years of managed competition reforms in the Netherlands

Publication

In this paper we estimate health plan price elasticities and financial switching gains for consumers over a 20 years period in which managed competition was introduced in the Dutch health insurance market.