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Regular version of the site

Regulated Competition in Healthcare Systems: Theory & Practice

2021/2022
Academic Year
ENG
Instruction in English
3
ECTS credits
Course type:
Elective course
When:
1 year, 4 module

Instructor

Course Syllabus

Abstract

In this course you will learn about the theory and practice of 'regulated competition' (also known as 'managed competition') in healthcare systems. Many countries have implemented or consider implementation of regulated competition in healthcare. Examples include Australia, Belgium, Chile, Colombia, Germany, Ireland, Israel, The Netherlands, Switzerland and the United States. After completing this course, you will be able to explain how regulated competition (in theory) promotes affordability, accessibility and efficiency of healthcare. Moreover, you will be able to explain why (in practice) successful implementation of regulated competition is very complex and often requires difficult trade-offs between policy objectives. We think this course is highly valuable to any student, researcher or professional interested in healthcare system reform and design. Specific topics in this course include a typology of healthcare systems, the economics of healthcare markets, theory and preconditions of regulated competition, risk adjustment and risk selection in health insurance, competition policy and provider payment.
Learning Objectives

Learning Objectives

  • Should be able to explain the model of regulated competition in healthcare including its background, principles and preconditions for success.
Expected Learning Outcomes

Expected Learning Outcomes

  • To describe and explain how governments did attempt to contain health care cost and to what extent this was successful
  • To describe and explain how governments tried to improve incentives for efficiency and why this is far from easy
  • Explain key aspects of the regulated competition model
  • Explain how consumer choice can promote efficiency in healthcare systems
  • Describe typical tools for insurers to improve efficiency
  • Describe tools that can be used by the regulator to manage and protect competition and to make health insurance affordable for all
  • Explain what premium regulation typically looks like and how it can promote affordability of insurance plans for people with expensive medical conditions
  • Explain typical forms of risk selection by insurers and their effects
  • Explain what risk equalization can look like and how it reduces selection incentives
  • Explain what risk sharing can look like and how it reduces selection incentives
Assessment Elements

Assessment Elements

  • non-blocking Tests after Topics 1-7
  • non-blocking Final interview
Interim Assessment

Interim Assessment

  • 2021/2022 4th module
    0.3 * Final interview + 0.7 * Tests after Topics 1-7
Bibliography

Bibliography

Recommended Core Bibliography

  • Edwards, R. T., & McIntosh, E. (2019). Applied Health Economics for Public Health Practice and Research (Vol. First edition). Oxford: OUP Oxford. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsebk&AN=2155137
  • Greer, S. L., & Kurzer, P. (2013). European Union Public Health Policy : Regional and Global Trends. Abingdon, Oxon: Routledge. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsebk&AN=536558
  • Scheffler, R. M. (2016). World Scientific Handbook Of Global Health Economics And Public Policy (A 3-volume Set). New Jersey: World Scientific. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsebk&AN=1366923

Recommended Additional Bibliography

  • Health economics, Bhattacharya, C., 2014