In this paper we investigate the existence of a two-tier medical system in the German acute care hospital sector using data from a survey of 483 German hospitals. The focus of our analysis lies on the impact of hospital concentration on the probability of discrimination of patients with...

In this paper we investigate the existence of a two-tier medical system in the German acute care hospital sector using data from a survey of 483 German hospitals. The focus of our analysis lies on the impact of hospital concentration on the probability of discrimination of patients with...

Germany’s healthcare system is praised as one of the best in the world. In this article, we review Germany’s health system by critically analysing its structure, funding, resource allocation, provider payments, efficiency, health outcomes, and access. Whilst health provision and access are...

This paper considers the influence of patients' characteristics on their evaluation of a health system's responsiveness, that is, a system's ability to respond to the legitimate expectations of potential users regarding non-health enhancing aspects of care (Valentine et al. 2003a). Since...

This paper provides field evidence on (a) how price framing affects consumers' decision to switch health insurance plans and (b) how the price elasticity of demand for health insurance can be influenced by policymakers through simple regulatory efforts. In 2009, in order to foster competition...

Using SOEP panel data and difference-in-differences methods, this study is the first to empirically evaluate the effectiveness of four different health care cost containment measures within an integrated framework. The four measures investigated were introduced in Germany in 1997 to reduce moral...

Zentrales Element unseres Gesundheitssystems sind die Versicherten, die mit Ihren Beitragszahlungen einen großen Teil des Systems finanzieren und mit ihren individuellen Verhalten als Patient einen entschiedenen Teil der Dynamik dieses System innerhalb des politischen Rahmens und seiner...

Patent holders attempt to mitigate the loss of monopoly power by authorizing generic entry prior to patent expiry (early entry). Off-patent competition may be adversely affected if early entry substantially lowers the attractiveness of subsequent generic entry. This study assesses the impact of...

Bundesgesundheitsminister Rösler sieht in einer der Reform der Beitragserhebung in der Gesetzlichen Krankenversicherung sein wichtigstes Projekt. Diese hat eine große Bedeutung für die Stärkung des Wettbewerbs in der GKV. Jedoch sind andere Themen für Effizienz, Qualität und Nachhaltigkeit...