Europe and Central Asia - Health
            insurance and competition

World Bank

dc.creator	World Bank
dc.date	2012-03-19T17:23:38Z
dc.date	2012-03-19T17:23:38Z
dc.date	2009-05-05
dc.date.accessioned	2023-02-17T20:46:22Z
dc.date.available	2023-02-17T20:46:22Z
dc.identifier	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20090709000918
dc.identifier	http://hdl.handle.net/10986/3064
dc.identifier.uri	http://localhost:8080/xmlui/handle/CUHPOERS/243402
dc.description	Health financing systems in some Europe and Central Asia (ECA) countries are undergoing some major reforms. In parallel with the transition from central planning to develop market-based economies, countries in Central Europe have moved within a relatively short period of time from having health systems that were government managed and funded by taxes to single health insurance systems that are payroll-funded. The next chapter (chapter two) describes the insurance context in Austria, the Netherlands, Slovakia, and Switzerland. Chapter three examines risk selection in a multiple insurance system. Risk-adjusters and equalization schemes in different countries are discussed as well as the resulting incentives for insurance companies to develop cost containment strategies. Chapter four discusses whether and how insurers compete for providers, including the different forms of managed care contracts that have evolved under multiple insurance and the impact of such contracts on policy goals. Chapter five describes consumer choice in different health financing systems and whether consumers are exercising their choice to switch insurers and plans. Chapter six presents an overview of the different options for insurance reforms. The final chapter will identify the main lessons drawn from the preceding chapters and will present potential policy solutions for increasing the effectiveness of insurance systems, including the necessary regulatory framework to prevent adverse effects, purchasing, improved risk pooling, and monitoring and evaluation systems.
dc.language	English
dc.publisher	World Bank
dc.rights	CC BY 3.0 IGO
dc.rights	http://creativecommons.org/licenses/by/3.0/igo/
dc.rights	World Bank
dc.subject	ADMINISTRATIVE COSTS
dc.subject	ADMINISTRATIVE EFFICIENCY
dc.subject	ADMINISTRATIVE EXPENSES
dc.subject	AGE GROUPS
dc.subject	AGED
dc.subject	AGENTS
dc.subject	ALTERNATIVE MEDICINE
dc.subject	ASSURANCE
dc.subject	BASIC HEALTH SERVICES
dc.subject	BUDGET CONSTRAINTS
dc.subject	CAPITATION
dc.subject	CARE INSTITUTIONS
dc.subject	CARE PLANS
dc.subject	CENTRAL GOVERNMENT
dc.subject	CITIES
dc.subject	COMMUNITY RATING
dc.subject	COMPENSATION
dc.subject	COMPETITION AMONG HEALTH CARE PROVIDERS
dc.subject	COMPETITION AMONG INSURERS
dc.subject	COMPETITION AMONG PROVIDERS
dc.subject	COMPETITION BETWEEN INSURERS
dc.subject	COMPETITIVE ENVIRONMENT
dc.subject	CONSUMER PROTECTION
dc.subject	CONSUMERS
dc.subject	CONTRIBUTION RATE
dc.subject	CONTRIBUTION RATES
dc.subject	COST CONTROL
dc.subject	COST SHARING
dc.subject	COST-SHARING ARRANGEMENTS
dc.subject	DEBT
dc.subject	DENTAL CARE
dc.subject	DIABETES
dc.subject	DOCTORS
dc.subject	EXPENDITURES
dc.subject	FEE-FOR-SERVICE
dc.subject	FEE-FOR-SERVICE SYSTEM
dc.subject	FINANCIAL CONTRIBUTIONS
dc.subject	FINANCIAL INCENTIVE
dc.subject	FINANCIAL INCENTIVES
dc.subject	FINANCIAL MANAGEMENT
dc.subject	FINANCIAL MARKETS
dc.subject	FINANCIAL RISK
dc.subject	FINANCIAL RISKS
dc.subject	FREE CHOICE
dc.subject	GENERAL PRACTITIONERS
dc.subject	GROUP INSURANCE
dc.subject	HEALTH CARE
dc.subject	HEALTH CARE CENTERS
dc.subject	HEALTH CARE COSTS
dc.subject	HEALTH CARE EXPENDITURE
dc.subject	HEALTH CARE EXPENDITURES
dc.subject	HEALTH CARE FINANCE
dc.subject	HEALTH CARE PERSONNEL
dc.subject	HEALTH CARE PRODUCTS
dc.subject	HEALTH CARE PROVIDERS
dc.subject	HEALTH CARE REFORM
dc.subject	HEALTH CARE REFORMS
dc.subject	HEALTH CARE SECTOR
dc.subject	HEALTH CARE SERVICES
dc.subject	HEALTH CARE SPENDING
dc.subject	HEALTH CARE SYSTEM
dc.subject	HEALTH CARE SYSTEMS
dc.subject	HEALTH EXPENDITURE
dc.subject	HEALTH EXPENDITURES
dc.subject	HEALTH FINANCING
dc.subject	HEALTH FINANCING SYSTEM
dc.subject	HEALTH INFORMATION
dc.subject	HEALTH INSURANCE
dc.subject	HEALTH INSURANCE EXPENDITURE
dc.subject	HEALTH INSURANCE FUND
dc.subject	HEALTH INSURANCE FUNDS
dc.subject	HEALTH INSURANCE POLICIES
dc.subject	HEALTH INSURANCE SCHEME
dc.subject	HEALTH INSURANCE SYSTEM
dc.subject	HEALTH INSURERS
dc.subject	HEALTH MANAGEMENT
dc.subject	HEALTH NEEDS
dc.subject	HEALTH PLAN
dc.subject	HEALTH PLANS
dc.subject	HEALTH POLICY
dc.subject	HEALTH SECTOR
dc.subject	HEALTH SERVICES
dc.subject	HEALTH SPENDING
dc.subject	HEALTH STATUS
dc.subject	HEALTH SYSTEM
dc.subject	HEALTH SYSTEMS
dc.subject	HMO
dc.subject	HMOS
dc.subject	HOSPITAL BEDS
dc.subject	HOSPITAL REVENUES
dc.subject	HOSPITAL ROOMS
dc.subject	HOSPITALIZATION
dc.subject	HOSPITALS
dc.subject	HOUSEHOLD INCOME
dc.subject	HUMAN DEVELOPMENT
dc.subject	INCENTIVES FOR EFFICIENCY
dc.subject	INCENTIVES FOR PROVIDERS
dc.subject	INCOME GROUPS
dc.subject	INFLATION
dc.subject	INPATIENT CARE
dc.subject	INSURANCE CLAIMS
dc.subject	INSURANCE COMPANIES
dc.subject	INSURANCE COMPETITION
dc.subject	INSURANCE COVERAGE
dc.subject	INSURANCE EXPENDITURES
dc.subject	INSURANCE INDUSTRY
dc.subject	INSURANCE LAW
dc.subject	INSURANCE PACKAGE
dc.subject	INSURANCE PLAN
dc.subject	INSURANCE PREMIUMS
dc.subject	INSURANCE REGULATION
dc.subject	INSURANCE RISK
dc.subject	INSURANCE SUPERVISION
dc.subject	INSURANCE SYSTEM
dc.subject	INSURANCE SYSTEMS
dc.subject	INSURERS
dc.subject	INTEGRATION
dc.subject	LAWS
dc.subject	LEGAL FRAMEWORK
dc.subject	LEVEL PLAYING FIELD
dc.subject	LIFE INSURANCE
dc.subject	MANAGED CARE
dc.subject	MANAGED CARE PLANS
dc.subject	MANAGED COMPETITION
dc.subject	MEDICAL CARE
dc.subject	MEDICAL CONDITIONS
dc.subject	MEDICAL EXPENSES
dc.subject	MEDICAL SERVICES
dc.subject	MEDICAL SPECIALISTS
dc.subject	MEDICAL TECHNOLOGY
dc.subject	MENTAL ILLNESS
dc.subject	MORTALITY
dc.subject	MULTIPLE INSURANCE SYSTEMS
dc.subject	MULTIPLE INSURERS
dc.subject	NATIONAL HEALTH
dc.subject	NATIONAL HEALTH INSURANCE
dc.subject	NATIONAL HEALTH SERVICE
dc.subject	NON-LIFE INSURANCE
dc.subject	NURSES
dc.subject	OUTPATIENT CARE
dc.subject	PATIENT
dc.subject	PATIENT TREATMENT
dc.subject	PATIENTS
dc.subject	PAYMENTS FOR HEALTH SERVICES
dc.subject	PHARMACEUTICAL EXPENDITURES
dc.subject	PHARMACIES
dc.subject	PHARMACISTS
dc.subject	PHARMACY
dc.subject	PHYSICIAN
dc.subject	PHYSICIANS
dc.subject	PHYSIOTHERAPISTS
dc.subject	PHYSIOTHERAPY
dc.subject	POCKET PAYMENTS
dc.subject	PRIMARY CARE
dc.subject	PRIMARY HEALTH CARE
dc.subject	PRIVATE HEALTH INSURANCE
dc.subject	PRIVATE HOSPITALS
dc.subject	PRIVATE INSURANCE
dc.subject	PRIVATE INSURANCE COMPANIES
dc.subject	PROGRAMS
dc.subject	PROVIDER PAYMENT
dc.subject	PROVISION OF CARE
dc.subject	PUBLIC HEALTH
dc.subject	PUBLIC HOSPITAL
dc.subject	PUBLIC INSURERS
dc.subject	PUBLIC PROVIDERS
dc.subject	QUALITY CONTROL
dc.subject	REGULATORY AGENCIES
dc.subject	REHABILITATION
dc.subject	RISK ADJUSTMENT
dc.subject	RISK EQUALIZATION
dc.subject	RISK FACTORS
dc.subject	RISK GROUPS
dc.subject	RISK MITIGATION
dc.subject	RISK PROFILES
dc.subject	SAVINGS
dc.subject	SICK LEAVE
dc.subject	SOCIAL ASSISTANCE
dc.subject	SOCIAL HEALTH INSURANCE
dc.subject	SOCIAL INSURANCE
dc.subject	SOCIAL INSURANCE CONTRIBUTIONS
dc.subject	SOCIAL SECURITY
dc.subject	SOLVENCY
dc.subject	SUPERVISORY AUTHORITIES
dc.subject	SURGERY
dc.subject	SUSTAINABILITY
dc.subject	UNEMPLOYMENT
dc.subject	USE OF HEALTH SERVICES
dc.subject	WORKERS
dc.subject	YOUNG ADULTS
dc.title	Europe and Central Asia - Health insurance and competition
dc.type	Economic & Sector Work :: Other Health Study
dc.coverage	Europe and Central Asia
dc.coverage	EU Accession Countries