[EQ] Universal Mandatory Health Insurance In The Netherlands - Health Prioritization: The Case Of Chile

Universal Mandatory Health Insurance In The Netherlands:
A Model For The United States?

 

Wynand van de Ven, professor of health insurance in the Institute of Health Policy and Management at Erasmus University in Rotterdam, the Netherlands.
Frederik Schut, professor of health economics at the institute.

Health Affairs, 27, no. 3 (May-June 2008): 771-781 doi: 10.1377/hlthaff.27.3.771 -Project HOPE

 

Available free online at: http://content.healthaffairs.org/cgi/content/full/27/3/771   

 

“…..Policy analysts consider the Netherlands health system a possible model for the United States. Since 2006 all Dutch citizens have to buy standardized individual health insurance coverage from a private insurer. Consumers have an annual choice among insurers, and insurers can selectively contract or integrate with health care providers. Subsidies make health insurance affordable for everyone. A Risk Equalization Fund compensates insurers for enrollees with predictably high medical expenses. The reform is a work in progress. So far the emphasis has been on the health insurance market. The challenge is now to successfully reform the market for the provision of health care….”

 

Global Innovations

 

PROLOGUE: Global Innovations In Payment And Coverage

Extract: http://content.healthaffairs.org/cgi/content/extract/27/3/770

 

Health Prioritization: The Case Of Chile

Verónica Vargas and Sergio Poblete

Health Affairs, 27, no. 3 (May-June 2008): 771-781 doi: 10.1377/hlthaff.27.3.771 -Project HOPE

 

Extract: http://content.healthaffairs.org/cgi/content/abstract/27/3/782

 

“…..This paper examines the introduction of a prioritized list of fifty-six health conditions in Chile, for which access to treatment is guaranteed. This is an important health reform issue, and the discussion of Chile’s rich and complex approach may benefit other countries. Conditions on the list were selected using multiple criteria: burden of disease, inequality, high costs, social preferences, rule of rescue, and cost-effectiveness.

 

The dominant criteria were high burden of disease and social preferences. Cost-effectiveness was introduced after the fact to identify effective treatments at a cost that the country could afford….”

 

VERONICA VARGAS: vvargas@uahurtado.cl

http://www.economia.uahurtado.cl/mae/html/veronica_vargas.html

 

 

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