Welke zorgverzekeraar? Overstapbaten en overstapkosten ontrafeld

Duijmelinck, Daniëlle M.I.D.; Mosca, Ilaria; Ven, Wynand P.M.M. van de; Laske-Aldershof, Trea

doi:10.1007/s12508-014-0076-1

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…Yet, it is unclear if the switching rates found in our study are sufficient to create enough competition between health insurers [17,18]. It is important to mention that low switching rates on the health insurance market are not necessarily related to problems with the accessibility of care or a lack of consumer choice [46]. After all, a low switching rate may also be the result of a perfectly functioning health insurance market or a high level of satisfaction among the insured, which decreases their propensity to switch [46].…”

Section: Implications For Policymentioning

confidence: 79%

“…It is important to mention that low switching rates on the health insurance market are not necessarily related to problems with the accessibility of care or a lack of consumer choice [46]. After all, a low switching rate may also be the result of a perfectly functioning health insurance market or a high level of satisfaction among the insured, which decreases their propensity to switch [46]. Also, it can be argued that high switching rates are not a favourable alternative, since this might increase the expenditures of health insurers.…”

Section: Implications For Policymentioning

confidence: 99%

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Does the chronically ill population in the Netherlands switch their health insurer as often as the general population? Empirical evidence from a nationwide survey study

Schors

Brabers

Jong

2020

BMC Health Serv Res

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Background: Consumer mobility is an important aspect of a health insurance system based on managed competition. Both the general population and insured with a chronic illness should enjoy an equal opportunity to switch their insurer every year. We studied possible differences in the rates of switching between these two groups in the Netherlands. Methods: A structured questionnaire was sent to 1500 members of Nivel's Dutch Health Care Consumer Panel (response rate: 47%) and to 1911 chronically ill members of the National Panel of the Chronically ill and Disabled (response rate: 84%) in February 2016. Associations between switching and background characteristics were estimated using logistic regression analyses with interaction effects. Results: In general, we did not find significant differences in switching rates between the general population and chronically ill population. However, a combination of the population and background characteristics demonstrated that young insured with a chronic illness switched significantly less often than young insured from the general population (1% versus 17%). Conclusions: Our results demonstrated that the group of young people with a chronic illness is less inclined to switch insurer. This observation suggests that this group might either face difficulties or barriers which prevents them from switching, or that they experience a high level of satisfaction with their current insurer. Further research should therefore focus on unravelling the mechanisms which explain the differences in switching rates.

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Section: Implications For Policymentioning

confidence: 79%

Section: Implications For Policymentioning

confidence: 99%

Does the chronically ill population in the Netherlands switch their health insurer as often as the general population? Empirical evidence from a nationwide survey study

Schors

Brabers

Jong

2020

BMC Health Serv Res

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“…Daartegenover staat dat de overgrote meerderheid van de verzekerden bij dezelfde zorgverzekeraar blijft. Op basis van literatuur weten we diverse redenen waarom verzekerden niet wisselen van zorgverzekeraar, zoals tevredenheid met de service van de zorgverzekeraar [2,3,4]. Een invalshoek die binnen de zorgverzekeringsmarkt nog niet is onderzocht, is die van de marketing.…”

Section: Inleidingunclassified

The better the reputation and image of one’s own health insurer, the more loyal?

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Erp

et al. 2018

Tijdschr Gezondheidswet

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Why do people not switch insurer in a market-based health insurance market? Empirical evidence from the Netherlands

Schors

Brabers

Jong

2020

European Journal of Public Health

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Background In market-based systems, the possibility to switch is an important precondition for a well-functioning health insurance market. To assess whether such a market works as intended, insight into the considerations and perceived barriers of insured is needed. This study examines the rates and reasons for not switching health insurer in the Netherlands, and whether these reasons differ between the general population and the population of people with a chronic illness. Methods We made use of survey data collected in 2017 among two panels representing the general population (n = 659, response 44%) and the chronically ill population (n = 1593, response 86%). Results We found differences regarding the reasons for not switching insurer. The chronically ill population seems to attach more importance to reasons related to the coverage of the health plan, whereas the general population is more focused on the level of service. Some people who considered switching experienced barriers, however, these barriers were not significantly more experienced by the chronically ill population. Conclusions This study reveals differences between the general population and the chronically ill population when examining reasons for not switching related to quality and coverage. A subset from the people who initially considered to switch experienced barriers which might have altered their decision. Further research is recommended to include questions about information search behaviour to examine which consumers make an informed decision for not switching, and for whom barriers limit switching.

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Welke zorgverzekeraar? Overstapbaten en overstapkosten ontrafeld

Cited by 3 publications

References 20 publications

Does the chronically ill population in the Netherlands switch their health insurer as often as the general population? Empirical evidence from a nationwide survey study

Does the chronically ill population in the Netherlands switch their health insurer as often as the general population? Empirical evidence from a nationwide survey study

The better the reputation and image of one’s own health insurer, the more loyal?

Why do people not switch insurer in a market-based health insurance market? Empirical evidence from the Netherlands

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