Hardback

The Law and Policy of Healthcare Financing

An International Comparison of Models and Outcomes

9781788115919 Edward Elgar Publishing

Edited by Wolf Sauter, Full Professor of Law, Markets and Behavior, Vrije Universiteit Amsterdam and Coordinating Specialist Enforcement Official, Dutch Authority for Consumers and Markets (ACM), Jos Boertjens and Johan van Manen, Dutch Healthcare Authority (NZa) and Misja Mikkers, Tilburg University, Department of Economics and Tilburg Law and Economics Center (TILEC) and Dutch Healthcare Authority (NZa), the Netherlands

Publication Date: 2019 ISBN: 978 1 78811 591 9 Extent: 480 pp

Examining the ways and extent to which systemic factors affect health outcomes with regard to quality, affordability and access to curative healthcare, this explorative book compares tax-funded Beveridge systems and insurance-based Bismarck systems. Containing contributions from national experts, The Law and Policy of Healthcare Financing charts and compares the merits of healthcare systems throughout 11 countries, from the UK to Colombia.

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Critical Acclaim

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Examining the ways and extent to which systemic factors affect health outcomes with regard to quality, affordability and access to curative healthcare, this explorative book compares the relative merits of tax-funded Beveridge systems and insurance-based Bismarck systems.

The Law and Policy of Healthcare Financing charts and compares healthcare system outcomes throughout 11 countries, from the UK to Colombia. Thematic chapters investigate the economic and legal explanations for the relevant similarities, variations and trends across the globe. Concluding that systemic factors may be less significant than previously believed, this comprehensive book notes that no one system consistently outperforms the others, yet incentives and funding improvements may lift performances across all curative healthcare systems.

Analytical and comparative, this book will be of interest to academics working in the fields of health law and health economics. Public authorities including health ministries, policymakers and international health organisations will also find this to be an invaluable resource.

Critical Acclaim

‘How we pay for our healthcare systems is nothing short of a test of our success as communities and nations: healthcare preserves and promotes human dignity. The balance between rising demands and costs, access for all, and efficiency and quality is pursued in different ways. Studies like this – even though comparable data is scarce – help us see possible better ways forward. The editors have assembled an impressive team, and their comparative research design yields rich insights.’
– Tamara Hervey, University of Sheffield, UK

‘Due to aging populations and technological advancements, countries are facing the challenge of improving healthcare quality, while maintaining access and containing cost. Focusing on the hospital sector, this book discusses how a variety of 11 countries try to meet this challenge. Specific attention is paid to the role of the regulatory framework, market structure, rationing and reimbursement methods. Although no best practice emerges, this book may be very useful for policymakers and anyone else interested in cross-country comparison.’
– Frederik T. Schut, Erasmus University Rotterdam, the Netherlands

Contributors

Contributors: F. Bachner, J. Bobek, J. Boertjens, P. Bogetoft, J.M. Burke, F. Dewallens, I. Durand-Zaleski, A. Geissler, C. Góngora Torres, M. Guy, T. Haanperä, J. Janus, S. Jerabkova, L. Lepuschütz, J. Lombard, M. Mikkers, G. O’Nolan, M.J. Perez-Villadoniga, H. Platou, K. Polin, W. Quentin, A. Rodríguez-Álvarez, W.M. Sage, W. Sauter, V. Shestalova, K.H. Søvig, V. Stephani, A. van den Heever, J. van Manen, J. Vermeulen

Contents

Contents:

Introduction: healthcare financing – an international comparison of models and outcomes
Jos Boertjens, Johan van Manen, Misja Mikkers and Wolf Sauter

PART I THEMATIC CHAPTERS
1. Explaining America’s spendthrift healthcare system: the enduring effects of public regulation on private competition
William M. Sage

2. Effective access to healthcare services abroad under the EU Directive on Cross-Border Patients’ Rights
Jarleth M. Burke

3. A legal perspective on tax-based versus insurance-based healthcare systems: comparing England and the Netherlands
Jos Boertjens and Mary Guy

4. A theoretical model of the determinants of waiting lists: an application to the Spanish national health system
Ana Rodríguez-Álvarez and Maria J. Perez-Villadoniga

5. Financial incentives to change the healthcare landscape: a case study
Josine Janus

6. Population-based financing: the future of healthcare?
Peter Bogetoft, Misja Mikkers and Victoria Shestalova

PART II COUNTRY REPORTS
7. Country report: Austria
Julia Bobek, Lena Lepuschütz and Florian Bachner

8. Country report: Belgium
Filip Dewallens and Julie Vermeulen

9. Country report: Czech Republic – hospital financing in the Czech Republic
Silvie Jerabkova

10. Country report: Colombia – approach to healthcare financing in Colombia and its impact on quality, affordability and competition
Catalina Góngora Torres

11. Country report: England
Tuomas Haanperä

12. Country report: France
Isabelle Durand-Zaleski and Johan van Manen

13. Country report: Germany
Katherine Polin, Wilm Quentin, Victor Stephani and Alexander Geissler

14. Country report: Ireland
John Lombard and Gerald O’Nolan

15. Country report: the Netherlands
Johan van Manen

16. Country report: Norway
Karl Harald Søvig and Harald Platou

17. Country report: South Africa
Alex van den Heever

Index