Related Experiment Video
Updated: Jul 18, 2026
07:13
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
[Notes on the planned German health fund model].
1Institut für Sozialmedizin und Gesundheitsökonomie der Otto-von-Guericke-Universität Magdeburg, Germany.
Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|November 14, 2006
Summary
The German health fund model may reduce competition for "good risks" but could increase market competition by incentivizing job seekers to switch sickness funds. Realizing significant economies requires greater competition between insurers and medical service providers.
Area of Science:
- Health economics
- Competition policy
- Social insurance
Background:
- Current German health insurance market relies on a risk adjustment scheme.
- Planned introduction of a German health fund model aims to alter risk adjustment mechanisms.
Purpose of the Study:
- To evaluate the planned German health fund model from a competition policy perspective.
- To analyze the impact of the proposed risk adjustment scheme on the health insurance market.
Main Methods:
- Analysis of the current risk adjustment model.
- Examination of the consequences of the proposed fund model on market competition.
- Assessment of potential economic efficiencies and policy implications.
Main Results:
- The health fund model may decrease ineffective competition for "good risks".
- It could increase competition by incentivizing unemployed individuals to switch sickness funds.
- Significant economies are contingent on increased competition between insurers and medical service providers.
Conclusions:
- The new risk adjustment fund offers limited potential for increased competition among sickness funds.
- The success of the reform depends on optimal design by policymakers and avoiding misinterpretation by sickness funds.
- Potential for increased competition exists primarily between health insurance companies and medical service suppliers.
Related Concept Videos
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:11Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
01:25Models of Health Promotion and Illness Prevention I
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
01:26Traditional Level Of Health Care System
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:29Concepts of Health and Illness
Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...