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The European Journal of Health Economics

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01.03.2005 | Original Paper

Consumer preferences in social health insurance

verfasst von: Jan J. Kerssens, Peter P. Groenewegen

Erschienen in: The European Journal of Health Economics | Ausgabe 1/2005

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Abstract

Allowing consumers greater choice of health plans is believed to be the key to high quality and low costs in social health insurance. This study investigates consumer preferences (361 persons, response rate 43%) for hypothetical health plans which differed in 12 characteristics (premium, deductibles, no-claim discount, extension of insurance and financial services, red tape involved, medical help-desk, choice of family physicians and hospitals, dental benefits, physical therapy benefits, benefits for prescription drugs and homeopathy). In 90% the health plan with the most attractive characteristics was preferred, indicating a predominantly rational kind of choice. The most decisive characteristics for preference were: complete dental benefits, followed by zero deductibles, and free choice of hospitals.

Altenstetter C, Bjorkman JW (1997) Health policy reform, national variations and globalization. London: MacMillan

Barringer MW, Mitchell OS (1994) Workers’ preferences among provided health insurance plans. Ind Labor Relations Rev 48:141–152

Booske BC, Sainfort F, Schoofs Hundt A (1999) Eliciting consumer preferences for health plans. Health Serv Res 34:839–854PubMed

Buchmueller TC, Feldstein PJ (1996) Consumer’s sensitivity to health plan premiums: evidence from a natural experiment in California. Health Aff (Millwood) 15:143 151

Chakraborty G, Ettenson R, Gaeth G (1994) How consumers choose health insurance. J Health Care Mark 14:21–33PubMed

Colombo F (2001) Towards more choice in social protection? Individual choice of insurer in basic mandatory health insurance in Switzerland. Labour market and social policy occasional papers no. 53, Paris: OECD

Cunningham PJ, Kohn L (2000) Health plan switching: choice or circumstance? Health Aff (Millwood) 19:158–164

Cunningham PJ, Denk C, Sinclair M (2001) Do consumers know how their health plan works? Health Aff (Millwood) 20:159–166

Cutler DM, Reber SJ (1998) Paying for health insurance: the trade-off between competition and adverse selection. Q J Econ 113:433–466CrossRef

10.

Dowd B, Feldman R (1994) Premium elasticities of health plan choice. Inquiry 31:438–444PubMed

11.

Enthoven AC (1993) The history and principles of managed competition. Health Aff (Millwood) 12 [Suppl]:24–48

12.

Feldman R, Finch M, Dowd B, Cassou S (1989) The demand for employment based health insurance plans. J Human Res 24:115–142

13.

Gibbs DA, Sangl JA, Burrus B (1996) Consumer perspectives on information needs for health plan choice. Health Care Financ Rev 18:55–73PubMed

14.

Gress S, Groenewegen P, Kerssens J, Braun B, Wasem J (2002) Free choice of sickness funds in regulated competition: evidence from Germany and The Netherlands. Health Policy 60:235–254CrossRefPubMed

15.

Hershey JC, Kunreuther H, Schwartz JS, Williams SV (1984) Health insurance under competition: would people choose what is expected? Inquiry 21:349–360PubMed

16.

Hibbard JH, Jewett JJ (1997) Will quality report cards help consumers? Health Aff (Millwood) 16:218–228CrossRef

17.

Kerssens JJ, Groenewegen PP (2003) Consumer choice of social health insurance in managed competition. Health Expect 312–322

18.

Kerssens JJ, Delnoij DMJ, Verweij JA, Schee E van der (2002) De keuze van ziekenfondsverzekerden voor een zorgverzekeraar (consumer preferences for particular social health insurers). Tijdschr Soc Gezondheidszorg 80:35–42

19.

Lamers LM, Vliet RCJA van, Ven WPMM van de (2003) Risk adjustment premium subsidies and risk sharing: key elements of the competitive sickness fund market in the Netherlands. Health Policy 65:49–62CrossRefPubMed

20.

Lieverdink H (2000) The marginal success of regulated competition policy in The Netherlands. Soc Sci Med 52:1183–1194CrossRef

21.

Light DW (2001) Comparative institutional response to economic policy managed competition and governmentality. Soc Sci Med 52:1151–1166CrossRefPubMed

22.

Long SH, Settle RF, Wrightson CW (1988) Employee premiums, availability of alternative plans, and HMO disenrollment. Med Care 26:927–938PubMed

23.

McGuire TG (1981) Price and membership in a prepaid group medical practice. Med Care 19:172–183PubMed

24.

Robinson S, Brodie M (1997) Understanding the quality challenge for health consumers: the Kaiser/AHCPR Survey. J Qual Improv 23:239–244

25.

Royalty AB, Solomon N (1999) Health plan choice. Price elasticities in a managed competition setting. J Human Res 34:1–41

26.

Rutten F, Buschbach J van (2001) How to define a basic package of health services for a tax funded or social insurance based health care system? Eur J Health Econ 2:45–46

27.

Ryan M, Bate A, Eastmond CJ, Ludbrook A (2001) Use of discrete choice experiments to elicit preferences. Qual Health Care 10 [Suppl 1]:i55–i60

28.

Ryan M, McIntosh E, Shackley P (1998) Using conjoint analyses to elicit the views of health service users: an application to the patient card. Health Expect 1:117–129CrossRefPubMed

29.

Scammon DL (1989) Self-funded health benefits plans: marketing implications for PPOs and employers. J Health Care Mark 9:5–14

30.

Scanlon DP, Chernew M, Lave JR (1997) Consumer health plan choice: current knowledge and future directions. Annu Rev Public Health 507–28

31.

Schut FT (1996) Health care systems in transition: The Netherlands. I. Health care reforms in The Netherlands: miracle or mirage? J Pub Health Med 18:278–284

32.

Schut FT, Doorslaer EKA van (1999) Towards a reinforced agency role of health insurers in Belgium and the Netherlands. Health Policy 48:47–67CrossRefPubMed

33.

Schut FT, Hassink WHJ (2002) Managed competition and consumer price sensitivity in social health insurance. J Health Econ 21:1009–1029CrossRefPubMed

34.

Short PF, Taylor AK (1989) Premiums, benefits, and employee choice of health insurance options. J Health Econ 8:293–311CrossRefPubMed

35.

Smith HL, Rogers RD (1986) Factors influencing consumers’ selection of health insurance carriers. J Health Care Mark 6:6–14PubMed

36.

Ven WPPM van de (2001) Risk selection on the sickness fund market. Eur J Health Econ 2:91–95

37.

ZFR/CTU (1999) Onderzoek effecten aanvullende verzekering (investigation of the effects of supplementary insurance). Amstelveen: ZFR/CTU

Titel: Consumer preferences in social health insurance
verfasst von: Jan J. Kerssens
Peter P. Groenewegen
Publikationsdatum: 01.03.2005
Verlag: Springer-Verlag
Erschienen in: The European Journal of Health Economics / Ausgabe 1/2005
Print ISSN: 1618-7598
Elektronische ISSN: 1618-7601
DOI: https://doi.org/10.1007/s10198-004-0252-3

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Consumer preferences in social health insurance

Abstract

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

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