Designing Health Systems Based on Managed Competition

In this paper, we draw lessons from the Netherlands, Israel, Germany, and Colombia that can inform policymakers considering health system reform for universal health coverage. Country experiences with managed…

Managed Competition in Colombia

The embedment of managed competition principles in an environment characterized by low-state presence and weak rule of law makes Colombia an interesting setting to analyse, holding valuable lessons for…

Incremental Adoption of Managed Competition in Germany

In this
paper, we document the experience of Germany’s SHI system with managed competition and the challenges faced by this sub-system in faithfully implementing the
principles of managed competition as originally…

Care through competition: The case of the Netherlands

In this paper, we look at what made a transition to managed competition possible in the Netherlands, how managed competition has played out, and the challenges that the system…

Managed Competition – Revisiting Enthoven’s Principles

In this piece, we revisit Enthoven’s principles and propose a broader definition of the concept of managed competition in order that it may encompass other countries’ experiences that do…