From the mid-1990s several countries have introduced elements of regulated competition in healthcare. The aim of this paper is to identify the most important preconditions for achieving efficiency and affordability under regulated competition in healthcare, and to indicate to what extent these...

The nature of the private–public mix in health insurance and in health care is a major issue in most health systems.

This paper uses medical care costs of joiners in their first year and of leavers in their last year prior the move, relative to the age–sex groups’ means, to examine the mechanisms behind the switching decisions. Since under the Israeli National Health Insurance Scheme no premiums are paid...

In 1995, a National Health Insurance Law (NHIL) was enacted in Israel. It specified a mandatory package of services to be provided by the four competing private non-profit sickness funds, and secured the financing of that provision. This review discusses the main issues associated with financing...