Effects of Contribution Co- Payments on Health Care and Health Financing in the German Health Care System

Year 2019, Volume: 3 Issue: 1, 16 - 30, 25.12.2019

Mustafa Kilic

Abstract

As part of the German
Health Modernization Act (GMG), additional payments have been made for
outpatient and inpatient medical services since 01.01.2004. In this study here,
the effect of additional payments on the quality of care and efficiency is
examined by considering various literature sources. The study is only limited
to the additional forms of practice fees and prescription drug fees. The
effects on the health system of contributions and the effects on patient
behavior are investigated. The effects of increasing or decreasing additional
payments on patient behavior are examined. These changes are examined with the
moral hazard problem approach. Since the medical services burden the health
system financially, the main goal of relieving the health system has not been
achieved. The current co-payment reforms even lead to increased moral hazard
behavior, since the insured person who pays the co-payment per quarter tends to
benefit more often from medical services in the same quarter.

Keywords

co-payments, consultation fee, moral hazard

Supporting Institution

yok

Project Number

yok

Thanks

Dipl.-Ing. Recep Kilic

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