Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Implementing managed competition in Israel.

R Gross1, M Harrison

  • 1JDC-Brookdale Institute of Gerontology and Human Development, Jerusalem, Israel. revital@jdc.org.il

Social Science & Medicine (1982)
|April 3, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Clinical Oncologist and NHS Commissioner Perspectives on Reirradiation for Recurrent Cancer.

Clinical oncology (Royal College of Radiologists (Great Britain))·2026
Same author

Patient Perspectives on Reirradiation for Recurrent Cancer, to Inform Future Clinical Trial Design.

Clinical oncology (Royal College of Radiologists (Great Britain))·2026
Same author

Improving early recognition and treatment of sepsis in paramedic services and emergency departments: a pan-Canadian mixed methods application of the Theoretical Domains Framework.

CJEM·2026
Same author

Using co-design to identify healthcare priorities for patients with incurable head and neck cancer.

BMC health services research·2026
Same author

Radiotherapy Plan Quality Assurance in the ABC-07 Trial of Stereotactic Body Radiotherapy for Locally Advanced Biliary Tract Cancer.

Clinical oncology (Royal College of Radiologists (Great Britain))·2026
Same author

Clinical Evaluation of Stereotactic Ablative Radiotherapy for Oligometastases From Rare Primary Cancers.

Clinical oncology (Royal College of Radiologists (Great Britain))·2025
Same journal

Toward a typology of government-sanctioned child maltreatment: A scoping review of the harms of U.S. immigration enforcement.

Social science & medicine (1982)·2026
Same journal

Sexual and reproductive health (SRH) of women in the slums of Guwahati city (Assam, India): A qualitative analysis.

Social science & medicine (1982)·2026
Same journal

Is intersectionality selective? The role of collider bias.

Social science & medicine (1982)·2026
Same journal

Violence prevention through legislative change: Qualitative insights on ending the physical punishment of children in the UK.

Social science & medicine (1982)·2026
Same journal

Does education shield against vaccine hesitancy? Evidence from the East-West divide.

Social science & medicine (1982)·2026
Same journal

Health inequality aversion in China: Public and decision-maker views.

Social science & medicine (1982)·2026
See all related articles

Israel's National Health Insurance law aimed to regulate competition among sick funds but instead increased government control over expenses. Reforms led to cost-cutting and visible service improvements, but not reorganization or improved quality.

Area of Science:

  • Health Policy
  • Health Economics
  • Public Administration

Background:

  • Israel's National Health Insurance (NHI) Law enacted in 1995 aimed to regulate competition among four private, not-for-profit sick funds (SFs).
  • Prior to NHI, SFs competed without governmental oversight, leading to the need for regulatory reform.

Purpose of the Study:

  • To analyze the implementation and outcomes of Israel's NHI Law regarding managed competition among sick funds.
  • To evaluate the impact of NHI reforms on SF autonomy, competition, cost control, and service quality.

Main Methods:

  • Analysis of NHI implementation and sick fund behavior post-reform.
  • Examination of the interplay between regulatory frameworks, government expenditure control, and SF operational strategies.

Related Experiment Videos

Main Results:

  • NHI reforms paradoxically constrained SF autonomy and limited competition, prioritizing central government control over SF expenses.
  • While SFs improved cost-efficiency and visible services, reforms failed to spur reorganization, service expansion, or clinical quality improvements.
  • Unintended consequences included aggressive marketing and SF collusion to limit care, alongside persistent operating deficits and financial instability.

Conclusions:

  • The Israeli NHI experience suggests managed competition theory has unrealistic assumptions regarding competitive behavior and quality monitoring capacity.
  • Implementation challenges stemmed from universal limitations of the managed competition model and unique local historical factors within Israel's health system.