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Balancing between competition and regulation in healthcare markets.
Trottmann, Maria; Stam, Piet; Visser, Johan; Brammli-Greenberg, Shuli.
Afiliación
  • Trottmann M; Department of Health Services Research, SWICA, 8401 Winterthur, Switzerland.
  • Stam P; School of Business and Economics, Ethics, Governance and Society, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  • Visser J; Equalis Strategy & Modeling B.V., Utrecht, The Netherlands.
  • Brammli-Greenberg S; Zorginstituut Nederland, 1112 ZA, Diemen, The Netherlands.
Health Econ Policy Law ; : 1-10, 2023 Dec 21.
Article en En | MEDLINE | ID: mdl-38124549
ABSTRACT
Systems of managed competition naturally seek the middle ground between competition and regulation. This debate essay makes the case for adjusting the level of regulation according to the characteristics of the submarket in question. We first develop a theoretical framework that can be used to identify the services in which relatively free competition will be beneficial. The framework is grounded in the economic literature and consists of eight criteria. Targeted regulatory tools are then discussed that can be used to structure submarkets in which these criteria are not (fully) met. Applying this framework and targeted interventions, regulators gain the flexibility to react to potential market failures, without foregoing the benefits of managed competition where it works well. This analysis is highly relevant for countries in transition to managed competition. Regulators can identify potential failure in submarkets for medical services, and apply the necessary regulatory tools to prepare for a smooth transition.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Health Econ Policy Law Año: 2023 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Health Econ Policy Law Año: 2023 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Reino Unido