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Implications of the EU Patients’ Rights Directive in Cross-Border Healthcare on the German Sickness Fund System

Mathias Kifmann () and Caroline Wagner ()
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Mathias Kifmann: Universität Hamburg, Hamburg Center for Health Economics
Caroline Wagner: Wissenschaftliches Institut der Techniker Krankenkasse für Nutzen und Effizienz im Gesundheitswesen (WINEG), (Scientific Institute of Techniker Krankenkasse for Benefit and Efficiency in Health Care)

A chapter in Health Care Provision and Patient Mobility, 2014, pp 49-66 from Springer

Abstract: Abstract We examine the implications of the EU directive on the application of patients’ rights in cross-border healthcare on the German sickness fund system. Since Germany implemented most requirements of the directive already in 2004, we first review Germany’s experience with EU cross-border healthcare. We then focus on the possible effects of increased EU cross-border healthcare. While this gives patients more choice, the German sickness fund system faces a number of challenges. EU cross-border care may undermine efforts to keep healthcare expenditure under control. Cross-border care can also increase inequality of access. Furthermore, promoting cross-border care can be a means for sickness funds to attract good risks. We discuss these challenges and point out possible policy responses.

Keywords: EU patients’ right directive; EU cross-border healthcare; Physician payment; Expenditure control (search for similar items in EconPapers)
JEL-codes: F15 H51 I13 I18 (search for similar items in EconPapers)
Date: 2014
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Citations: View citations in EconPapers (3)

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Persistent link: https://EconPapers.repec.org/RePEc:spr:dehchp:978-88-470-5480-6_3

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DOI: 10.1007/978-88-470-5480-6_3

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