Advice from the health insurer as a channelling strategy: a natural experiment at a Dutch health insurance company.

摘要: In a health care system based on managed competition it is important that insurers are able to channel their enrolees preferred providers. However, often very negative about financial incentives and any limitations in choice of provider. Therefore, Dutch insurance company conducted an experiment study the effectiveness new method channelling enrolees. This entails giving advise which physiotherapists choose when they call customer service. Offering this advice as extra service supposed improve quality ratings. Objective evaluate impact experiment, one insurer’s teams (pilot team) began advising physiotherapist. Three data sources were used. Firstly, all who called received online questionnaire order measure evaluation Enrolees offered slightly different which, addition, asked whether intended follow offered. Multilevel regression analysis was analyse difference ratings between pilot team two comparable before after implementation method. Secondly, employees logged each call, registering, if advice, enrolee accepted it, so, provider advised. Thirdly, from claims used see visited recommended The results show responded favorably being Furthermore, 45% then went visit provider, followed advice. higher compared control groups. could not be determined effect entirely due intervention. Channelling towards providers by offering successful. seems positive, although causal relationship determined.