Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19

Gilberto Turati, Joan Costa-Font, Joan Costa Font, Rosella Levaggi

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

In the last decades, several European health systems have abandoned their vertically integrated health care in favour of some form of managed competition (MC), either in a centralised or decentralised format. However, during a pandemic, MC may put health systems under additional strain as they are designed to follow some form of ‘organisational self-interest’, and hence face reduced incentives for both provider coordination (e.g. temporary hospital close down, change in the case-mix), and information sharing. We illustrate our argument using evidence for the Covid-19 pandemic outbreak in Italy during March and April 2020, which calls for the development of ‘coordination mechanisms’ at times of a health emergency.
Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalHealth Economics, Policy and Law
DOIs
Publication statusPublished - 2020

Keywords

  • Covid-19 pandemic
  • decentralization
  • healthcare integration
  • managed competition

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