The Influence Of The Labor Market On German Health Care Reforms

Stock, Stephanie; Redaélli, Marcus; Lauterbach, Karl W.

doi:10.1377/hlthaff.25.4.1143

Cited by 7 publications

(4 citation statements)

References 3 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also per person expenditures on health in Germany are one third higher than the OECD average [33]. One of the weaknesses of the GHCS stems from the labour market-based financing, which provides a narrow financing base vulnerable to economic downturns and a shift to a service-oriented economy [34]. Another inherent weakness is the absence of stringent evaluation mechanisms for the effectiveness of treatments and pharmaceuticals, making the system prone to overutilisation.…”

Section: Strength and Weaknesses Of The Ghcsmentioning

confidence: 99%

Challenges for the German Health Care System

Dietrich

Riemer-Hommel

2012

Z Gastroenterol

View full text Add to dashboard Cite

The German Health Care System (GHCS) faces many challenges among which an aging population and economic problems are just a few. The GHCS traditionally emphasised equity, universal coverage, ready access, free choice, high numbers of providers and technological equipment; however, real competition among health-care providers and insurance companies is lacking. Mainly in response to demographic changes and economic challenges, health-care reforms have focused on cost containment and to a lesser degree also quality issues. In contrast, generational accounting, priorisation and rationing issues have thus far been completely neglected. The paper discusses three important areas of health care in Germany, namely the funding process, hospital management and ambulatory care, with a focus on cost control mechanisms and quality improving measures as the variables of interest. Health Information Technology (HIT) has been identified as an important quality improvement tool. Health Indicators have been introduced as possible instruments for the priorisation debate.

show abstract

Section: Strength and Weaknesses Of The Ghcsmentioning

confidence: 99%

Challenges for the German Health Care System

Dietrich

Riemer-Hommel

2012

Z Gastroenterol

View full text Add to dashboard Cite

show abstract

“…7 Principles of solidarity have been made most explicit in policy discussions in Germany. 8 As Stock, Redaelli and Lauterbach (2006) explain, the guiding principle of Germany’s Social Health Insurance is solidarity: “Services are rendered according to medical need.” Furthermore, “[Financing] implies cross-subsidization from low to high risks, [and] from high-income to low-income earners…” Concern for fairness motivates regulation of health insurance premiums in the U.S. as well, prohibiting or limiting discrimination by health status. 9 These strictures limit how well premiums charged to enrollees can match persons with health plans serving their preferences.…”

Section: Consumers and Gold And Silver Managed Care Plansmentioning

confidence: 99%

“… 11 This could be, for example, a payroll tax shared by employer and employee, as in Germany (Stock, Redaelli and Lauterbach, 2006). We disregard any efficiency consequences of tax finance in terms of distorting employment or other decisions.…”

mentioning

confidence: 99%

Gold and Silver health plans: Accommodating demand heterogeneity in managed competition

Glazer

McGuire

2011

Journal of Health Economics

View full text Add to dashboard Cite

New regulation of health insurance markets creates multiple levels of health plans, with designations like “Gold” and “Silver”. The underlying rationale for the heavy-metal approach to insurance regulation is that heterogeneity in demand for health care is not only due to health status (sick demand more than the healthy) but also to other, “taste” related factors (rich demand more than the poor). This paper models managed competition with demand heterogeneity to consider plan payment and enrollee premium policies in relation to efficiency (net consumer benefit) and fairness (the European concept of “solidarity”). Specifically, this paper studies how to implement a “Silver” and “Gold” health plan efficiently and fairly in a managed competition context. We show that there are sharp tradeoffs between efficiency and fairness. When health plans cannot or may not (because of regulation) base premiums on any factors affecting demand, enrollees do not choose the efficient plan. When taste (e.g. income) can be used as a basis of payment, a simple tax can achieve both efficiency and fairness. When only health status (and not taste) can be used as a basis of payment, health status-based taxes and subsidies are required and efficiency can only be achieved with a modified version of fairness we refer to as “weak solidarity.” An overriding conclusion is that the regulation of premiums for both the basic and the higher level plans is necessary for efficiency.

show abstract

“…Among the services covered by the German state health insurance plan are prevention and early detection of certain diseases. However, those in the private health insurance programs receive more prevention options than those in the German state health insurance plan because some of the prevention options cost more than the state health insurance covers (Stock, Redaelli, & Lauterbach, 2006). The biggest advantage of the state health insurance program is that it insures family members at no additional cost.…”

Section: German and Us Health Care Systemsmentioning

confidence: 99%

Preventive Health Care Practices of Former Soviet Union Immigrant Women in Germany and the United States

Ivanov

Pokhis

et al. 2010

Home Health Care Management & Practice

View full text Add to dashboard Cite

Objectives: To examine the use of preventive health care practices of mammography, Pap smear, and breast self-exam in immigrant women from the former Soviet Union in Germany and the United States. Design: A descriptive cross-sectional exploratory study was used to examine the preventive health care practices of immigrant women in Germany and the United States. Sample: A convenience sample of 15 German immigrant women from the former Soviet Union were solicited from the Salztal Klinik in Germany and matched by age with 24 U.S. immigrant women from the former Soviet Union solicited from a community center for immigrants. Measurements: Data were collected using a demographic survey and the Language, Identity, and Behavior Acculturation Measure. Results: Significant differences were found between the German and U.S. immigrant groups in use of mammography (χ 2 = 8.069, df = 1, p < .005) and Pap smear (χ 2 = 7.245, df = 1, p < .008). Conclusion: The low use of mammography and Pap smear among German immigrant women may be related to differences in health care systems, age, and health beliefs. Further study is needed to determine the affects of age and health beliefs related to health promotion and disease prevention to better understand how to intervene and improve the health of immigrant women from the former Soviet Union.

show abstract

The Influence Of The Labor Market On German Health Care Reforms

Cited by 7 publications

References 3 publications

Challenges for the German Health Care System

Challenges for the German Health Care System

Gold and Silver health plans: Accommodating demand heterogeneity in managed competition

Preventive Health Care Practices of Former Soviet Union Immigrant Women in Germany and the United States

Contact Info

Product

Resources

About