Professional paper - Professional paper
Levelling vs competition – political trend reversal in the German healthcare system?

Wolf, Sascha; Amelung, Volker (2014)
Language English
Title (English)Levelling vs competition – political trend reversal in the German healthcare system?
AuthorWolf, Sascha
Amelung, Volker
Abstract (English)
For almost 20 years, the German federal government has declared that competition is the key to ensuring the financial sustainability of the healthcare system. The aim of this paper is to investigate if German government indeed has followed a direct path to enhancing competition. For this purpose, a qualitative analysis of the most important healthcare reform acts has been conducted. In conclusion, especially since the introduction of the Health Fund in 2009, a clear trend towards more levelling and regulation can be observed. This trend is confirmed by the most recent healthcare reform act in June 2014. The abolishment of flat-rate premiums is the expression of the government’s fear that competitive pressure could endanger the solvency and viability of sickness funds (statutory health insurance funds). In contrast, on the market for selective contracts, an ambivalent picture emerges. On the one hand, several possibilities for establishing new forms of healthcare and strengthening competition have been introduced. On the other hand, sickness funds as well as service providers are often reluctant to enter into selective contracts.
Keywords (English)German healthcare system Health Fund contract competition integrated care innovation fund
Publication typeprofessional paper - professional paper
Publication statuspublished
Peer reviewpeer review
Journal titleEkonomski vjesnik : Review of Contemporary Entrepreneurship, Business, and Economic Issues
Numbering2014, Vol. XXVII, No. 2, pp 463-471
Datepublication: 24.12.2014.
Article URL
Scientific fieldSOCIAL SCIENCES