I The Effect Of Corporate Reputation On Health Insurance Choices In A Public-Policy-Shaped Environment Of Premium Equality

Author(s):  
Markus Kick
Author(s):  
Karsten Vrangbæk

Scandinavian health systems have traditionally been portrayed as relatively similar examples of decentralised, public integrated health systems. However, recent decades have seen significant public policy developments in the region that should lead us to modify our understanding. Several dimensions are important for understanding such developments. First, several of the countries have undergone structural reforms creating larger governance units and strengthening the state level capacity to regulate professionals and steer developments at the regional and municipal levels. Secondly, the three Nordic countries studied experienced an increase in the purchase of voluntary health insurance and the use of private providers. This introduces several issues for the equality of users and the efficiency of the system. This paper will investigate such trends and address the question: Is the Nordic health system model changing, and what are the consequences for trust, professional regulation and the public interest?


ILR Review ◽  
1994 ◽  
Vol 48 (1) ◽  
pp. 86 ◽  
Author(s):  
Jonathan Gruber ◽  
Brigitte C. Madrian

1999 ◽  
Vol 13 (1) ◽  
pp. 141-164 ◽  
Author(s):  
Martin Gaynor ◽  
Deborah Haas-Wilson

In this paper, the authors summarize the nature of the changes in the structure of the health-care industry. They focus on the markets for health insurance, hospital services, and physician services. They discuss the potential implications of the restructuring of the health care industry for competition, efficiency, and public policy. As will become apparent, this area offers a number of intriguing questions.


Author(s):  
Ishmael Wireko ◽  
Daniel Béland ◽  
Michael Kpessa-Whyte

Abstract Contributing to the ongoing debate about policy feedback in comparative public policy research, this article examines the evolution of healthcare financing policy in Ghana. More specifically, this article investigates the shift in healthcare financing from full cost recovery, known as ‘cash-and-carry’, to a nation-wide public health insurance policy called the National Health Insurance Scheme (NHIS). It argues that unintended, self-undermining feedback effects from the existing health policy constrained the menu of options available to reformers, while simultaneously opening a window of opportunity for transformative policy change. The study advances the current public policy scholarship by showing how the interaction between policy feedbacks and other factors—particularly ideas and electoral pressures—can bring about path-departing policy change. Given the dearth of scholarship on self-undermining policy feedback effects in the Global South, this contribution’s originality lies in its application of the novel theory to the sub-Saharan African context.


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