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Since 1998 German SHIs have offered selective contracts, restricting subscribers' choice of providers in return for lower subscriptions.
The former are currently gaining importance in the context of selective contracts for integrated care, gatekeeper centred health care and disease managements programmes [ 24].
Another example of different information needs within one group of stakeholders is between insurance companies who engage in selective contracts and insurance companies who strive for pay-for-performance contracts.
But even more important might be that integrated health care networks often implement additional educational training, put a stronger emphasis on quality circle work, have selective contracts with health sickness funds (what might include different payment systems) etc. Fourth, our systematic search procedure was limited to the Medline database (via PubMed).
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There are concerns that complementary health insurance and selective contracting may serve as risk-selection tools [ 14].
The finding that male, healthier and, depending on level of trust, younger enrolees are more likely to accept selective contracting, suggests there is the possibility of risk selection in health plans with selectively contracted care.
Historically, regulation has tended to block competition, for example by preventing health-care purchasers from selective contracting with providers.
On the other hand, a competitive insurance model with selective contracting of health care providers by health insurers and flexible pricing of health services is offered too.
The story said the group "is likely to advocate for exchanges that allow maximum participation, unlike the selective contracting model employed by California".
There are two forms of selective contracting.
However, health insurers are still reluctant to implement selective contracting.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com