Table 1 Key elements of the Dutch health care system (From: Enthoven and Van de Ven, 2007)
From: Acceptance of selective contracting: the role of trust in the health insurer
1 | Mandatory basic health insurance for everyone, purchased through private insurance companies |
2 | Annual consumer choice of insurer and insurance products |
3 | Open enrolment and community rating |
4 | Premium subsidies for elderly people and those at high risk of disease, through a risk-equalisation system |
5 | Mandatory deductible of €165 per person per year* |
6 | Voluntary deductible up to €500 per person per year |
7 | Insurers allowed to sell other types of insurance (e.g., supplementary insurance) |
8 | Insurers intended to be the prudent buyers of care on behalf of their members |
9 | General practitioners to serve as gatekeepers |
10 | Insurers permitted to contract selectively with doctors and hospitals |
11 | Health maintenance organisations and preferred provider arrangements allowed |
12 | In transition toward managed competition |