The Changing Role of Government in Financing Health Care: An International Perspective

Mark Stabile and Sarah Thomson

Journal of Economic Literature, 2014, vol. 52, issue 2, 480-518

Abstract: This paper explores the changing role of government involvement in health care financing policy outside the United States. It provides a review of the economics literature in this area to elucidate the implications of recent policy changes on efficiency, costs, and quality. Our review reveals that there has been some convergence in policies adopted across countries to improve financing incentives and encourage efficient use of health services. In the case of risk pooling, all countries with competing pools experience similar difficulties with selection and are adopting more sophisticated forms of risk adjustment. In the case of hospital competition, the key drivers of success appear to be what is competed on and measurable, rather than whether the system is public or private. In the case of both the success of performance-related pay for providers and issues resulting from wait times, evidence differs within and across jurisdictions. However, the evidence does suggest that some governments have effectively reduced wait times when they have chosen explicitly to focus on achieving this goal. Many countries are exploring new ways of generating revenues for health care to enable them to cope with significant cost growth, but there is little evidence to suggest that collection mechanisms alone are effective in managing the cost or quality of care.

JEL-codes: H51 I11 I18 (search for similar items in EconPapers)
Date: 2014
Note: DOI: 10.1257/jel.52.2.480
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (13)

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Related works:
Working Paper: The changing role of government in financing health care: an international perspective (2014)
Working Paper: The Changing Role of Government in Financing Health Care: An International Perspective (2014)
Working Paper: The Changing Role of Government in Financing Health Care: An International Perspective (2013)
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