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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. →
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. →