Changes and Challenges of the New Health Care Reform in the Netherlands: What Should the Dutch Be Aware of?

TILEC Discussion Paper No. DP2006-026

19 Pages Posted: 9 Nov 2006

See all articles by Ilaria Mosca

Ilaria Mosca

Tilburg Law and Economics Center (TILEC); Dutch Healthcare Authority

Philip R. De Jong

University of Amsterdam - Amsterdam School of Economics (ASE)

Date Written: October 2006

Abstract

In this paper we examine the recent change of health care policy reform in the Netherlands, which introduced elements of market competition into the system with the goals of strengthening solidarity, guaranteeing an equitable and cost-efficient health care market, and preserving individuals' freedom of choice concerning health care providers. We draw a parallel with the Swiss health care system, which relies on ten years of experience with managed competition in health care, and highlight the difficulties emerging from a set-up that does not always guarantee a competitive environment. The lesson that the Dutch should learn is that competition can only work if there is a substantial liberalization on the procurement market (more room for selectively contracting providers of care) and if sufficient incentives to stimulate an increased role of the consumer are present.

Keywords: Health care reform, market competition, consumer-driven health care, The Netherlands, Switzerland

JEL Classification: I11, I18, I19, H51

Suggested Citation

Mosca, Ilaria and De Jong, Philip R., Changes and Challenges of the New Health Care Reform in the Netherlands: What Should the Dutch Be Aware of? (October 2006). TILEC Discussion Paper No. DP2006-026. Available at SSRN: https://ssrn.com/abstract=943429 or http://dx.doi.org/10.2139/ssrn.943429

Ilaria Mosca (Contact Author)

Tilburg Law and Economics Center (TILEC) ( email )

Warandelaan 2
Tilburg, 5000 LE
Netherlands

Dutch Healthcare Authority ( email )

Postbus 3017
Utrecht, 3502 GA
Netherlands

Philip R. De Jong

University of Amsterdam - Amsterdam School of Economics (ASE) ( email )

Roetersstraat 11
Amsterdam, North Holland 1018 WB
Netherlands

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