In letzter Zeit wurde von einigen Wissenschaftlern der Vorschlag gemacht, die Finanzierung der gesetzlichen Krankenversicherung auf einkommensunabhängige Kopfpauschalen umzustellen. Die Autoren stellen in dieser Arbeit deshalb einleitend die unterschiedlichen Vorschläge verschiedener Gutachter...

Im Rahmen der Diskussion um eine Verringerung der Ausgaben in der Gesetz-lichen Krankenversicherung (GKV) wird eine Ausgliederung von Zahnersatzleis-tungen erwogen. Auf Grund beobachtbarer, schichtenspezifisch ungleicher In-anspruchnahme zahnärztlicher Leistungen und schichtenspezifisch...

Das GKV-Modernisierungsgesetz (GMG) 2003 sieht u.a. eine deutliche Erhöhung bzw. Ausweitung der Zuzahlungen sowie eine Einschränkung der Befreiungsmöglichkeiten vor. Vor diesem Hintergrund stellen die Autoren in dieser Arbeit zunächst einleitend die unterschiedlichen Positionen verschiedener...

Medicare?s prospective payment system (PPS), introduced in 1983, pays hospitals a fixed price for each stay rather than reimbursing costs. Previous studies evaluated its first few years using endogenous measures to control for heterogeneity in patients? health. We examine PPS over a full decade...

This paper compares public health care with private health insurance in an overlapping generations endogenous growth model. It is shown that economic growth is higher when there is a private health insurance.

Deductibles in health insurance are often regarded as a means to contain health care costs when individuals exhibit moral hazard. However, in the absence of moral hazard, voluntarily chosen deductibles may instead lead to self-selection into different insurance contracts. We use a set of new...

A famous idea to maintain affordable health expenditures is to cut back statutory health insurance (SHI) to a basic insurance and to introduce supplementary private health insurance (PHI), permitted to cover the remaining benefits and to apply managed care mechanisms. The measure is supposed to...

Many health economists demand more competition in the health care system. They focus on the competition between sickness funds for insured and the competition between health care providers for contracts with sickness funds. But they neglect the competition between health care providers for...

In 2003 the Government of Ghana established a National Health Insurance Scheme (NHIS) to improve health care access for Ghanaians and eventually replace the cash-and-carry system. This study evaluates the NHIS to determine whether it is fulfilling its purpose in the context of the Millennium...

The Knappschaft underlies Bismarck's sickness and accident insurance legislation (1883 and 1884), which in turn forms the basis of the German social-insurance system today and, indirectly, many social-insurance systems around the world. The Knappschaften were formed in the medieval period to...