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This paper explores the goals and implementation of reforms introducing choice of and competition among insurers providing statutory health coverage in Belgium, Germany, the Netherlands and Switzerland. In theory, health insurance competition can enhance efficiency in health care administration and delivery only if people have free choice of insurer (consumer mobility), if insurers do not have incentives...
„Mehr Wettbewerb im Gesundheitswesen bringt vor allem mehr Bedarfsgerechtigkeit, eine bessere Qualität, mehr Effizienz, geringere Kosten sowie weniger Bürokratie“ – das wird behauptet. Doch stimmt das? Anhand einer Dreieckskonstellation können drei Arten von Wettbewerb unterschieden werden: (1) Wettbewerb (zwischen Krankenkassen/Versicherern) um Versicherte, (2) Wettbewerb (zwischen Leistungserbringern)...
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