By Elizabeth Docteur, Organisation for Economic Co-operation and Development
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Additional info for Towards High-Performing Health Systems (Oecd Health Project)
TOWARDS HIGH-PERFORMING HEALTH SYSTEMS – ISBN 92-64-01555-8 – © OECD 2004 45 2. 2. Policies to foster availability and affordability of private health insurance OECD countries with private health insurance (PHI) markets face challenges arising from certain characteristics of competitive, voluntary markets, including segregation by risk1 and information asymmetries between insurance purchasers and sellers. Therefore, absent government interventions, some PHI markets offer limited or no policies for highrisk populations and coverage may not be affordable for some lower- and middle-income groups.
For example, in Australia, summary reports of findings on individual providers are made available following each inspection. In the United States, the government puts information about the quality of nursing home care and home health care on the Internet for public use. 32 TOWARDS HIGH-PERFORMING HEALTH SYSTEMS – ISBN 92-64-01555-8 – © OECD 2004 1. 5. ) New focus on quality of home health-care services Regulation and monitoring of quality in the home-care market is a relatively new development.
4 euros per day (Office de Contrôle des Mutualités et des Unions Nationales de Mutualités, 2002, Rapport Annuel, p. 81) and covered about 67% of the population in 2000. b) For the Netherlands and Germany, the data refer to supplementary PHI policies purchased by individuals who belong to the social health insurance system. Some of the individuals with primary PHI are also covered by supplementary PHI policies, which are sometimes packaged with primary PHI policies. 1. ) 2. ACCESS TO CARE: THE QUEST TO IMPROVE AND MAINTAIN TOWARDS HIGH-PERFORMING HEALTH SYSTEMS – ISBN 92-64-01555-8 – © OECD 2004 ACCESS TO CARE: THE QUEST TO IMPROVE AND MAINTAIN TOWARDS HIGH-PERFORMING HEALTH SYSTEMS – ISBN 92-64-01555-8 – © OECD 2004 43 Source: Specific data sources have been indicated below; information was also supplied by OECD member countries or obtained from official publications.