Regulated Competition in Healthcare Systems: Theory & Practice

  • 0.0
Approx. 39 hours to complete

Course Summary

This course explores the concept of regulated competition in healthcare systems and its impact on access, quality, and cost of care. It covers both theoretical and practical aspects of regulated competition and provides insights into the design and implementation of healthcare policies.

Key Learning Points

  • Understand the principles of regulated competition in healthcare systems
  • Analyze the impact of regulated competition on access, quality, and cost of care
  • Explore the design and implementation of healthcare policies

Job Positions & Salaries of people who have taken this course might have

  • Healthcare Policy Analyst
    • USA: $64,000 - $126,000
    • India: INR 5,00,000 - INR 20,00,000
    • Spain: €30,000 - €60,000
  • Healthcare Consultant
    • USA: $70,000 - $150,000
    • India: INR 6,00,000 - INR 25,00,000
    • Spain: €35,000 - €80,000
  • Healthcare Economist
    • USA: $80,000 - $150,000
    • India: INR 8,00,000 - INR 30,00,000
    • Spain: €40,000 - €90,000

Related Topics for further study


Learning Outcomes

  • Gain a deep understanding of the concept of regulated competition
  • Learn how to analyze the impact of regulated competition on healthcare systems
  • Develop skills in designing and implementing healthcare policies

Prerequisites or good to have knowledge before taking this course

  • Basic knowledge of economics
  • Familiarity with healthcare systems and policies

Course Difficulty Level

Intermediate

Course Format

  • Online
  • Self-paced
  • Video Lectures

Similar Courses

  • Healthcare Innovation and Entrepreneurship
  • Healthcare Delivery Systems
  • Global Health Policy

Related Education Paths


Notable People in This Field

  • Atul Gawande
  • Zeke Emanuel
  • David Cutler

Related Books

Description

In this MOOC you will learn about the theory and practice of 'regulated competition' (also known as 'managed competition') in healthcare systems. Many countries have implemented or consider implementation of regulated competition in healthcare. Examples include Australia, Belgium, Chile, Colombia, Germany, Ireland, Israel, The Netherlands, Switzerland and the United States. After completing this MOOC, you will be able to explain how regulated competition (in theory) promotes affordability, accessibility and efficiency of healthcare. Moreover, you will be able to explain why (in practice) successful implementation of regulated competition is very complex and often requires difficult trade-offs between policy objectives. We think this MOOC is highly valuable to any student, researcher or professional interested in healthcare system reform and design. Specific topics in this MOOC include a typology of healthcare systems, the economics of healthcare markets, theory and preconditions of regulated competition, risk adjustment and risk selection in health insurance, competition policy and provider payment.

Outline

  • Introduction and overview
  • Introduction of teachers and course overview
  • Why government intervention is necessary & waves of health care reform
  • Why government intervention in health care is necessary
  • How did governments intervene in health care systems? - Three waves of health care reform
  • First wave of health care reform: Social health insurance
  • First wave of health care reform: National health service
  • Second wave of health care reform: how did governments realize cost containment?
  • Third wave of health care reform: how did governments increase incentives for efficiency?
  • Equality, Efficiency, and Market Fundamentals: The Dynamics of International Medical-Care Reform
  • Waves of health care reform
  • Market & government failure in healthcare
  • Navigating between market failure & government failure
  • Is competition among providers of health care helpful or harmful?
  • Competition among health care providers: helpful or harmful?
  • Market & government failure
  • Competition in health care
  • Theory of regulated competition in healthcare systems
  • The model of regulated competition in healthcare systems
  • How consumer choice of insurance plan can promote efficiency
  • How can insurers improve the efficiency of healthcare?
  • Tools for the regulator to manage competition and to make health insurance affordable for all
  • Regulated Competition in Health Insurance Markets: Paradigms and Ongoing Issues
  • Regulated competition: background, principles and tools
  • Preconditions for achieving efficiency & affordability in competitive health care markets
  • Ten Preconditions for achieving efficiency and affordability
  • Preconditions 1-5
  • Preconditions 6-10
  • Preconditions for efficiency and affordability in competitive healthcare markets: Are they fulfilled in Belgium, Germany, Israel, the Netherlands and Switzerland?
  • Preconditions for regulated competition
  • Ongoing reforms: premium regulation, risk equalization & risk sharing in health insurance markets
  • Premium regulation in health insurance markets
  • Risk selection by insurers
  • Risk equalization in health insurance markets
  • Risk sharing in health insurance markets
  • Strategies to Counteract Risk Selection in Social Health Insurance Markets
  • Premium regulation, risk equalization and risk sharing
  • Ongoing reforms: competition regulation in health care
  • Effective competition regulation in health care
  • Three key issues regarding competition regulation in health care
  • Coordination versus Competition in Health Care Reform
  • Hospital merger control in Germany, the Netherlands and England: Experiences and challenges
  • Making health care markets work: Competition policy for health care
  • Public healthcare interests require strict competition enforcement
  • Why Don't Courts Treat Hospitals Like Tanks for Liquefied Gases? Some Reflections on Health Care Antitrust Enforcement
  • Competition regulation in health care
  • Ongoing reforms: provider payment in healthcare systems
  • What drives provider payment reform?
  • Agency theory
  • Multitasking problem and base payment
  • Financial risk
  • Pay-for-performance
  • Bundled payment
  • Global payment
  • Introduction to lesson
  • Introduction to lesson
  • Value-based provider payment: towards a theoretically preferred design
  • Value-Based Provider Payment Initiatives Combining Global Payments With Explicit Quality Incentives: A Systematic Review
  • What drives provider payment reform?
  • What does the theory say?
  • Value-based provider payment methods
  • Key takeaways & farewell
  • Key takeaways & farewell

Summary of User Reviews

Regulated Competition in Healthcare Systems course has received positive reviews from the users. Learners have appreciated the course instructor and the case studies given in this course. The course has helped learners to understand the healthcare systems better and to apply the concepts in their workplace.

Key Aspect Users Liked About This Course

The case studies provided in the course have been highly appreciated by the users.

Pros from User Reviews

  • The course instructor has explained the concepts in a simple and easy-to-understand language.
  • The course content is well-organized and easy to follow.
  • The course has helped learners to understand the healthcare systems better and to apply the concepts in their workplace.

Cons from User Reviews

  • The course does not cover some of the important aspects of healthcare systems.
  • The course is relatively expensive compared to other online courses.
  • The course is not suitable for beginners with no background in healthcare systems.
English
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Approx. 39 hours to complete
Richard van Kleef, Erik Schut, Frank Eijkenaar, Wynand van de Ven, Marco Varkevisser
Erasmus University Rotterdam
Coursera

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