Kopafbeelding onderzoek CPB

Healthcare

For a couple of years now, CPB has a special research program focusing on healthcare. Rising cost and aeging ask for policy solutions, like competition between hospitals and a changing role for insurance companies.

Most recent publications

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.

CPB Discussion Paper 378 | 29 March 2018

24 pages | pdf document, 2.9 MB

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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.

CPB Discussion Paper 373 | 8 February 2018

24 pages | pdf document, 480.6 KB

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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.

CPB Discussion Paper 367 | 7 December 2017

60 pages | pdf document, 1.5 MB

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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.

CPB Discussion Paper 363 | 3 November 2017

44 pages | pdf document, 2.9 MB

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