The Law and Policy of Healthcare Financing
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The Law and Policy of Healthcare Financing

An International Comparison of Models and Outcomes

Edited by Wolf Sauter, Jos Boertjens, Johan van Manen and Misja Mikkers

Examining the ways and extent to which systemic factors affect health outcomes with regard to quality, affordability and access to curative healthcare, this explorative book compares tax-funded Beveridge systems and insurance-based Bismarck systems. Containing contributions from national experts, The Law and Policy of Healthcare Financing charts and compares the merits of healthcare systems throughout 11 countries, from the UK to Colombia.
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Chapter 2: Effective access to healthcare services abroad under the EU Directive on Cross-Border Patients’ Rights

Jarleth M. Burke

Abstract

The Cross-Border Health Care Directive (CBHD) has the potential to herald a revolution in the ability of EU citizens to access healthcare across European boundaries. The author argues that the CBHD, while activating rights, does too little to operationalize them. The CBHD could function as a major corrective to government failure in the healthcare setting, but critically, its implementation means that information asymmetry and related problems are not tackled systematically. In addition, the calculation of reimbursement tariffs by the Member States is largely un-policed, leading to potential gaming. Nevertheless, very dysfunctional public delivery systems may begin to face material patient out-flows. Although the CBHD makes provision for the Member States to curb reimbursement rights in response, this requires developing a detailed framework for that purpose. The relative priority this framework gives to patient as opposed to provider interests is likely to determine its strictness.

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