Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19

Joan Costa Font, Rosella Levaggi and Gilberto Turati ()
Authors registered in the RePEc Author Service: Joan Costa-i-Font

Health Economics, Policy and Law, 2022, vol. 17, issue 2, 212-219

Abstract: In the last decades, several European health systems have abandoned their vertically integrated health care in favour of some form of managed competition (MC), either in a centralised or decentralised format. However, during a pandemic, MC may put health systems under additional strain as they are designed to follow some form of ‘organisational self-interest’, and hence face reduced incentives for both provider coordination (e.g. temporary hospital close down, change in the case-mix), and information sharing. We illustrate our argument using evidence for the Covid-19 pandemic outbreak in Italy during March and April 2020, which calls for the development of ‘coordination mechanisms’ at times of a health emergency.

Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:cup:hecopl:v:17:y:2022:i:2:p:212-219_6

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