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Health systems

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Question:

What were the advantages and disadvantages of the Netherlands’ 2006 reform introducing mandatory health insurance and risk-adjusted redistribution?

Author: Henriette Bergo



Answer:

Advantages: Ensured universal coverage by requiring all residents to purchase insurance. Risk-adjusted redistribution and community-rated premiums reduced the risk of inequities. Encouraged competition among insurers, promoting efficiency and innovation. Disadvantages: High premiums and out-of-pocket costs placed a burden on low-income households. Complex administrative systems for risk adjustment and redistribution increased bureaucratic costs.


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