Page 111 - Effective healthcare cost containment policies Using the Netherlands as a case study - Niek W. Stadhouders
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Do managed competition and active purchasing go hand in hand?
care is relatively low. Some additional explanations may be given, relating to different characteristics of the hospital market. In the next section, we assess the effect of a number of market characteristics on volatility to check the robustness of our findings.
12,0% 11,0% 10,0%
9,0% 8,0% 7,0% 6,0% 5,0% 4,0% 3,0% 2,0% 1,0% 0,0%
annual fluctuations
structural volatility
hospital care
elderly care (LTC)
disability care (LTC)
social care
personal budget care
Figure 5.1: Mean MVI for Dutch healthcare sectors, 2007/8-2013/4
16,0% 14,0% 12,0% 10,0%
8,0% 6,0% 4,0% 2,0% 0,0%
hospital care
elderly care
disability care
municipal care
personal budgets
2006/7 2007/8
2008/9 2009/10
2010/11 2011/12
2012/13 2013/14
Figure 5.2: MVI over time for Dutch healthcare sectors, 2006/7-2013/4
Our main analysis finds relatively low volatility in the hospital sector. Insurers could use selective contracting and stimulation of entry and exit to reallocate hospital budgets. We
5.4.2 Robustness checks
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