Related Experiment Video
Updated: Jul 22, 2026

Establishing a Competing Risk Regression Nomogram Model for Survival Data
Published on: October 23, 2020
Risk adjusted premium subsidies and risk sharing: key elements of the competitive sickness fund market in the
Leida M Lamers1, René C J A van Vliet, Wynand P M M van de Ven
1Department of Health Policy and Management, Erasmus University Rotterdam, PO Box 17,38, 3000 DR Rotterdam, The Netherlands. lamers@bmg.eur.nl
Abstract:
As part of a market-oriented health care reform, in 1991 risk adjusted premium subsidies were introduced in the Dutch social health insurance sector. Currently the premium subsidies are primarily based on demographic variables. To mitigate the obvious inadequacy of these risk adjusters, the system of risk adjustment is supplemented with a system of risk sharing. This paper describes the main characteristics of the Dutch health care system and the development of risk adjustment and risk sharing in the last decade. The effects of introducing financial risk for Dutch sickness funds on risk selection and consumer mobility are analysed. The paper concludes with a description of expected future developments.
Related Concept Videos
Secondary Healthcare System
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Relative Risk
Actuarial Approach
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Hazard Rate
Hazard Ratio
For example, in a clinical trial evaluating a...

