Liberalization of the Dutch health care market

Description:

Due to developments in society (ageing population, increased consumerism) and medical technology there will stay an upwards pressure to health care expenditures. Government will keep the responsibility for accessibility, quality and affordability of health care for all citizens, but it defines this role more facilitating. Liberalization means less government involvement in the health care market. In the health care market one can distinguish 4 sub-markets. First, the health care procurement market in the Netherlands is defined as the market between sellers (hospitals) and buyers (mostly insurers, but in the future maybe also employer and individuals). Second, the insurance is defined as the market between insurance companies and individuals or collectives who want to buy an insurance.

Liberalization will lead to all kinds of new health organization models, like Health Maintenance Organizations (cooperation between insurance and hospital, e.g. USA), hospital-nursing homes combinations, but also listed hospitals. As from 2012 it will be possible for hospitals to make a profit.

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Paradigms:

The fundamental shift in thinking is the transformation from a regulated system, like in most other European countries to a much more market oriented system in which government has much less control and market forces will drive development.

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Timing:

Start new insurance system (zorgverzekeringswet) 1-1-2006
Start new hospital financing system (DBC’s) 1-1-2005, finish 1-1-2008
Start liberalization construction of hospitals (WTZi) 1-1-2006, finish 2012

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