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Implementing the Basic Health Package in The Netherlands Andr é den Exter

Implementing the Basic Health Package in The Netherlands Andr é den Exter. Legal context BHP. Health Insurance Act ( Zvw , 2006), Exceptional risks scheme ( AWBZ ) Insured risks: functional approach Nature and scope: Ministerial Acts and insurance policies

elijah-guerra
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Implementing the Basic Health Package in The Netherlands Andr é den Exter

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  1. Implementing the Basic Health Package in The Netherlands André den Exter

  2. Legal context BHP • Health Insurance Act (Zvw, 2006), Exceptional risks scheme (AWBZ) • Insured risks: functional approach • Nature and scope: Ministerial Acts and insurance policies • Health Care Insurance Board (CVZ): Package management: annual package advice • What’s in and what’s out? • Package principles

  3. Relevant developments Role of Health insurance companies Preference policy Guidelines and protocols medical associations Council of Quality and Care: Towards a Dutch NICE?

  4. Comments Lack of civic engagement Rational democratic deliberation

  5. Effects Zvw: Towards a fair rationing debate? Rationing under the Zvw scheme Rationing decisions in practice less explicit Decisionmaking based on ‘merite’ instead of medical need: Priority health care arrangements

  6. To conclude ‘Equity without efficiency is unaffordable; efficiency without equity is iniquitous.’ Leonard Fleck. Just Caring. Health care rationing and democratic delibaration, OUP 2009, 401

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