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Cost sharing and protection mechanisms in health : Examples of Hypothetical simulations: Results [printed text] / Maria-Isabel Farfan-Portet, Author ; Nicolas Bouckaert, Author ; Stephan Devriese , Author ; Carl Devos , Author ; Carine Van de Voorde, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2019 . - 98 p. : ill., ; A4. - (KCE Reports. Health Services Research (HSR); 309) .
ISSN : D/2019/10.273/16 : € 0,00
Languages : English (eng)

Descriptors:	Classification W 74 Medical economics. Health care costs (General) Indexation 2010-19 ; Cost-sharing ; Financing, Personal ; Health Expenditures ; Health Services Accessibility ; Insurance Coverage ; R309
Contents note:	SCIENTIFIC REPORT .7 -- 1 INTRODUCTION 7 -- 1.1 GENERAL BACKGROUND .7 -- 1.2 SCOPE OF THE STUDY 8 -- 1.3 RESEARCH METHODS AND OVERVIEW OF THE REPORT .9 -- 2 CHANGES IN SOCIAL PROTECTION MECHANISMS BETWEEN 2012 AND 2016 10 -- 2.1 SUMMARY OF POLICY CHANGES .10 -- 2.2 ESTIMATING THE DIFFERENCE BETWEEN OMNIO BENEFICIARIES AND COMPLETE TAKE-UP FOR THE OMNIO STATUS .12 -- 2.2.1 Complete take-up for the OMNIO status 12 -- 2.3 LIMITING THE TRANSFER OF THE ENTITLEMENT TO OMNIO TO MEMBERS OF THE ‘REFERENCE’ HOUSEHOLD 18 -- 2.3.1 Transfer of the entitlement to OMNIO to members of the reference household 18 -- 2.4 SIMPLIFICATION OF THE SYSTEM OF INCREASED REIMBURSEMENT 20 -- 2.4.1 Increased reimbursement in 2014 20 -- 2.4.2 Impact of a systematic control: households losing the right to increased reimbursements 28 -- 2.4.3 Impact of changing the reference household definition 29 -- 2.5 CHILD MAB FOR HANDICAPPED CHILDREN 30 -- 2.6 POLICIES FOR PERSONS WITH A CHRONIC ILLNESS 33 -- 2.6.1 Situation before 2014: impact of the MAB for the chronically ill 33 -- 2.6.2 Situation after 2014: introduction of the status of person with chronic illness 37 -- 2.6.3 Status of a person with a chronic illness 41 -- 3 INTRODUCTION OF NEW CHANGES IN SOCIAL PROTECTION MECHANISMS .45 -- 3.1 SUMMARY OF NEW POLICY MEASURES .45 -- 3.2 RESTRICTING THE MAB FOR THE CHRONICALLY ILL (N_7) TO AVOID OVERLAP WITH THE STATUS OF A PERSON WITH A CHRONIC ILLNESS .48 -- 3.3 ABOLISHING THE RIGHT TO INCREASED REIMBURSEMENT FOR HOUSEHOLDS WITH AN INCOME ABOVE THE THRESHOLD (N_8) .51 -- 3.4 INCLUDING STAYS IN A PSYCHIATRIC HOSPITAL IN THE MAB COUNTER 56 -- 3.5 ESTIMATION OF THE MAB CEILING BASED ON THE NET INCOME OF THE PREVIOUS YEAR .60 -- 3.6 FISCAL REFORMS: SHIFT FROM TAX DEDUCTIONS TO TAX REDUCTIONS 66 -- 3.7 MODIFICATION TO THE MAB SYSTEM: ABOLISHING THE SOCIAL MAB AND INTRODUCING A CEILING OF € 250 FOR LOW-INCOME HOUSEHOLDS .72 -- 3.7.1 Abolishing the social MAB and introducing a ceiling of € 250 for low-income households based on the net taxable income (NTI) of 2009 72 -- 3.7.2 Abolishing the social MAB and introducing a ceiling of € 250 for low-income households based on the net taxable income (NTI) of 2011 78 -- 3.8 INDEXATION ON THE INCOME MAB THRESHOLDS AND CEILINGS 84 -- 3.8.1 Indexation of the MAB ceilings 84 -- 3.8.2 Indexation of the MAB income thresholds 88 -- 3.8.3 Changes in the number of households entitled to the social and income MAB: analysis in -- light of the simulation results 92 -- 3.9 INCOME-RELATED DEDUCTIBLE EXCLUDING GP SERVICES 93 -- REFERENCES .98
Link for e-copy:	https://kce.fgov.be/sites/default/files/atoms/files/KCE_309_Cost_sharing_protect [...]
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