The author is also associated with CAPPS (Centre d'Analyse des Politiques Publiques de Santé, EHESP), Rennes, France.
Health insurance system financing reforms in the Netherlands, Germany and France: Repercussions for coverage and redistribution?
Article first published online: 3 JAN 2012
© 2012 The author(s). International Social Security Review © 2012 International Social Security Association
International Social Security Review
Volume 65, Issue 1, pages 29–51, January-March 2012
How to Cite
Turquet, P. (2012), Health insurance system financing reforms in the Netherlands, Germany and France: Repercussions for coverage and redistribution?. International Social Security Review, 65: 29–51. doi: 10.1111/j.1468-246X.2011.01418.x
- Issue published online: 3 JAN 2012
- Article first published online: 3 JAN 2012
- method of financing;
- supply of health care;
- scope of coverage;
- organisation and methods;
For a number of years, the Dutch, German and French health insurance systems have been attempting to contain costs and diversify their sources of finance, which traditionally have come mainly from social contributions. Diversification may involve broader-based public finance, as well as greater recourse to private resources and operators. In the case of the Netherlands and Germany, the reforms go hand in hand with efforts to introduce competition between health insurance bodies. In France, private complementary insurance has become indispensable for adequate access to health care. However, these measures have repercussions for redistribution, which social assistance programmes have difficulty in addressing.