Risk-adjusted capitation : recent experiences in the Netherlands.
In this paper, four leading Dutch researchers bring the American policy audience up to date on how managed competition is being implemented in their country.
What is critical to the success of reforms, both in the Netherlands and in the United States, are risk adjustment mechanisms to prevent cream skimmings that is to prevent plans from selecting the best health risks and avoiding those predicted to cost more.
In a health systeme based on up-front capitation, health plans see in their interest to attract persons whose costs will not exceed the amount paid to the plan for their care. (Prologue).
Mots-clés Pascal : Assurance maladie, Système santé, Pays bas, Réforme
Mots-clés Pascal anglais : Health insurance, Health system, Netherlands, Reform
Notice produite par :
ENSP - Ecole nationale de la santé publique (devenue EHESP)
Cote : 94 V
Code Inist : 002B30A01B. Création : 28/11/1995.