Health-adjusted premium subsidies in The Netherlands: As it implements managed competition, the Dutch government has taken steps to avoid risk selection in its sickness funds (original) (raw)

The Dutch government has moved towards implementing managed competition in health care, initiating health-based risk adjustment to mitigate risk selection among sickness funds since 1988. This paper outlines the progress made over the last decade in the Dutch risk adjustment system, explores the implications of this reform, and discusses future challenges and considerations in health policy reform. It also presents an analysis of various risk-adjustment models that have been employed, emphasizing their role in ensuring equitable health fund financing.