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In the Dutch health care system health insurers negotiate with hospitals about the pricing of hospital products in a managed competition framework. In this paper, we study these contract prices that became for the first time publicly available in 2016. The data show substantive price variation between hospitals for the same products, and within a hospital for the same product across insurers. →

In health care systems with a competitive health insurance market, governments or other sponsors (e.g. employers) often subsidize premiums to encourage enrolment. These subsidies are typically independent of plan choice leaving the absolute premium differences in place so as not to distort consumer choice of plan. →

In this paper we estimate health plan price elasticities and financial switching gains for consumers over a 20 years period in which managed competition was introduced in the Dutch health insurance market. →

Key role for risk-adjustment system in Dutch health insurance. →

Health care expenditures will grow faster than GDP. →

Still room for improving the modernised Dutch system for long term care. →

Health care expenditures expected to grow fast. →

The efficient delivery of medical services may be pursued by intensifying competition among health care insurers. →

Equilibrium rates of unemployment substantially lower than actual unemployment →