privatization, liberalization, re-regulation: recent trends in german health policy johann wolfgang...
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![Page 1: Privatization, Liberalization, Re-Regulation: Recent Trends in German Health Policy Johann Wolfgang Goethe-University Frankfurt Institute of Medical Sociology](https://reader036.vdocuments.mx/reader036/viewer/2022083008/56649f4e5503460f94c6f0bf/html5/thumbnails/1.jpg)
Privatization, Liberalization, Re-Regulation:Recent Trends in German Health Policy
Johann Wolfgang Goethe-University Frankfurt
Institute of Medical Sociology
14th Conference of the International Association of Health Policy Europe (IAHPE)
Thessaloniki, 25th to 29th May 2005
Prof. Dr. Dr. Thomas Gerlinger
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Contents
1. German health policy in the 1990s
2. The law on the modernization of the compulsory health insurance system (2004)
3. Future trends
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German Health Policy in the 1990s
Change of paradigmas
• introduction of elements of competition
• raising of co-payments
• first steps to liberalize the collective contract system
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Direction of Change
• privatization of costs
• modernization of supply and service structures
• liberalization of contractual relations (between social health insurance funds and doctors)
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Financing
• introduction of new co-payments
• raising of existing co-payments
• exclusion of certain benefits from the benefits catalogue
• financing of insurance contributions for certain benefits only by the insured
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Service Structure
• new incentives for the delivery of integrated care
• access of Medical Service Centers to outpatient care
• new obligations to deliver care centered on general practitioners
• Institute for Quality and Efficiency in Health Care
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Regulation
• further liberalization of contractual relations (between social health insurance funds and doctors)
• further weakening of the collective contract system (with this remaining important)
• expectation: creation of a quality-centered competition
• extension of legal provisions for quality assurance
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Future Trends
• further privatization (especially under a conservative-liberal government)
• further liberalization an competition (especially under a red-green government)