Liberalization of the health care market

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Enablers:

o The increase of health care cost will urge the government to introduce more efficient, market oriented systems. The current Dutch government adagio is “market where possible, and only intervene when necessary
o In the current budget system all capital expenditures are separately funded and guaranteed by government. As from 2012 hospitals will be fully responsible for their income and production (WTZi).
o The new hospital financing system (DBC’s) makes differences between hospitals in price and quality visible. By that competition between hospitals will increase

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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.

Experts:

Ministry of health (www.minvws.nl), College Bouw (www.cbz.nl), ZAio (www.ctg-zaio.nl)

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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