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2015 | 6 | 4 | 205-216

Article title

Slovenian Complementary Health Insurance Reform – Dichotomy between the Internal Market and the Social Dimension

Authors

Title variants

Languages of publication

EN

Abstracts

EN
Complementary health insurance is divided between the internal market (market principles) and social dimension, wherein the state has an extremely difficult task, as it must create the conditions necessary for the fair and efficient functioning of the health care financing system. Slovenia has failed to successfully accomplish this task, which consists of both ensuring the social dimension and also facilitating the operation of market principles. The aim of this article is not on the functioning of market principles, which are covered by the field of economics, but is instead on analyzing the dichotomy between the internal market (the rules that govern the functioning of the internal market) and the social dimension (the rules that enable the exercise of the social function), and, in this light, analyzes the legal regulation of the Slovenian complementary health insurance. Analysis of the legal regulation highlights the shortcomings in ensuring the social dimension, shortcomings which are, with the help of the measures proposed in the concluding section of the article, remedied by the author.

Publisher

Year

Volume

6

Issue

4

Pages

205-216

Physical description

Dates

published
2015-12-01
online
2016-01-06

Contributors

  • University of Ljubljana, Faculty of Administration, Gosarjeva ulica 5, SI-1000 Ljubljana, Slovenia

References

  • De Vries, S. A. (2011). BUPA; Healthy Case, in the Light of a Changing Constitutional Setting in Europe?, in de Gronden, J. W., Neergaard, U., Szyszczak, E. and Krajewski, M. (eds.). Health Care and EU Law, Legal Issues of Services of General Interest. The Hague: T.M.C. Asser Press.
  • Gracar, I. (2014). Spremembe financiranja sistema zdravstvenega varstva RS (Working Paper). Ljubljana.
  • Graells, S. A. (2011). Public Procurement and the EU Competition Rules. Oxford: Hart Publishing.
  • Health Insurance Institute of Slovenia. (2013). 2012 Management Report. Ljubljana: Health Insurance Institute of Slovenia.
  • Health Insurance Institute of Slovenia. (2015). 2014 Management Report. Ljubljana: Health Insurance Institute of Slovenia.
  • Ivanjko, Š. (2013). Zavarovalnice v krizi dobro poslujejo, ker strah zaradi negotovosti povečuje potrebo po zavarovanju. Večer.
  • Lianos, I. (2013). Some Reflections on the Question of the Goals of EU Competition Law (CLES Working Paper Series 3/2013). London: Centre for Law, Economics and Society CLES, Faculty of Laws, UCL.
  • Mikeln, A. (2014). Pomen zasebnih sredstev za dolgoročno stabilnost zdravstvenega sistema, na posvetu Zdravstvena polemika: Kakšna bo cena vašega zdravja v prihodnje. Ljubljana.
  • Nikolić, B. (2015a). Definition of Slovenian Complementary Health Insurance as a Service of General Economic Interest. International Public Administration Review, 13(1): 29–47.[Crossref]
  • Nikolić, B. (2015b). Impact of the Balancing Public Finances Act and the Law on Health Care and Health Insurance Act-M to Finance Complementary Health Insurance (Working Paper). Ljubljana.
  • Nikolić, B. (2015c). Legal Regulation of Health Care Financing Systems (Doctoral dissertation). Ljubljana: Faculty of Law.
  • Nikolić, B. (2015d). Why the Complementary Health Insurance Providers Are Exempted from Paying the Tax on Insurance Premium Transactions. Pravna praksa, 34(35):14–16.
  • Organisatation for Economic Co-operation and Development (OECD). (2013). Health at a Glance 2013: OECD Indicators. Paris: OECD Publishing.
  • Schieber, G. and Gottret, P. (2006). Health financing revisited, a practicioner’s guide. Washington: The World Bank.
  • Semmelmann, C. (2010). The European Union’s Economic Constitution under the Lisbon Treaty: Soul-Searching Shifts the Focus to Procedure. European Law Review, 35(4), 516–542.
  • Tajnikar, M., Došenovič Bonča, P. et al. (2015). Projekt prenove gospodarskih vidikov slovenskega zdravstva. Retrieved 14.7.2015 from University of Ljubljana, Faculty of Economics Web site: .
  • Wagstaff, A. (2001). Measuring Equity in Health Care Financing: Reflections on and Alternatives to the World Health Organization’s Fairness of Financing Index (Policy Research Working Paper). Washington: World Bank.
  • World Health Organization (WHO). (2000). The World Health Report 2000. Health Systems: Improving Performance. Geneva: WHO.

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.doi-10_1515_danb-2015-0013
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