SLIDE 1
1 GC/2007
2 GC/2007
Bestuur & Management Consultants (BMC) Wolfsheze, 20 september - - PowerPoint PPT Presentation
Bestuur & Management Consultants (BMC) Wolfsheze, 20 september - - PowerPoint PPT Presentation
Bestuur & Management Consultants (BMC) Wolfsheze, 20 september 2007 Gert Cazemier GC/2007 1 Funders behaviour in perspective Strategic en non-strategic behaviour of funders in a regulated and competitive health market GC/2007
SLIDE 2
SLIDE 3
3 GC/2007
Roadmap
1. Funders and collectivism 2. Funders and individualism 3. Funders and emerging strategies
SLIDE 4
4 GC/2007
SLIDE 5
5 GC/2007
Funders and collectivism
- Public health care system: private initiatives,
‘selfregulation’ & mutual solidarity
- Government responsible for legislative-scheme and
cost-containment and fair access and quality
- Insurance-Companies and Health Providers are
dominant partners
- Weak Clients and Consumerorganizations
SLIDE 6
6 GC/2007
Funders: insurance companies
- Low risks / high profile
- Relatively non-competitive
- Administrative oriented organizations
- Traditionally more focus on selling contracts to
consumers, than purchasing.
SLIDE 7
7 GC/2007
Funders: insurance companies (2)
- Short term target: increasing market share
- Long term targets diverge
- Scaling en Mergers of insurance companies
(horizontal, vertical and Europe)
- Introducing tenders (Europe)
- Huge reductions on purchasing staff
- Benchmarks become extremely important
SLIDE 8
8 GC/2007
Transition from collectivism to individualism
Old world Strictly regulated system, focus on the relation Funders <-> Providers New world Less regulated system, focus on the relation Providers <--> Clients/Consumerorganisations
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9 GC/2007
Individualism in the insurance scheme
- Reshaping structures health care system (new basic
insurance for curative care)
- Reshaping positions of surveillance
- Still reduction of growth of expenditures
(government)
- Individualized defrayment (ZZP, DBC)
- Individual budgets (cash)
SLIDE 10
10 GC/2007
Transition
- Old world New world
- Uncertainty: new positions
- Many strategies
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11 GC/2007
Emerging strategies of funders (1)
- Re-positioning en re-profiling insurrance companies
- Organizing new collectivisms (collective contracts for
groups: employers, consumeroganizations, e.d.)
- Converge of Health care and prevention disease
absence and inability of work
SLIDE 12
12 GC/2007
Emerging strategies of funders (2)
- Developing health products/complementary health
insurances (fitness, health resorts, e.d.)
- Developing and participating in new providers
- Scaling and mergers
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13 GC/2007
Emerging strategies of funders (3)
- Selective contracting (first providers, profiled
providers, e.d.)
- ....................................
- ....................................
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14 GC/2007
Developments: New Collectivism and Integration
- Clients en Consumerorganizations become more
important
- Inspections on health and market behaviour
- Insurance companies become social and health care
provider
- Europe !
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15 GC/2007
Statements for discussion
1. Providers focusing on satisfied clients will always be able to survive as organizations relatively easy. 2. The paradigm of a ‘regulated’ market in health care and social services is a fiction and will never work.
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16 GC/2007
Are there opportunities for Social Service and Health Providers in a ‘regulated” market
?
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17 GC/2007
Bestuur & Management Consultants (BMC)
- Drs. G. (Gert) Cazemier