Schramm F
Sophienplatz 12, 24103 Kiel.
Clin Res Cardiol. 2006 Jan;95 Suppl 2:II32-34. doi: 10.1007/s00392-006-1210-0.
Regulations of Integrated Health Care are capable of overriding the barriers of separated outpatient and inpatient health care. These regulations create a situation of competition among health care providers, but not among payers. Since the laws exclude common regulations of competition laws, antitrust laws and public procurement laws from Integrated Health Care, insurance companies gain a relatively strong position in the competition for contracts. This is even enforced by the fact that no health care provider is entitled to request a contract with a specific insurance company. The main result is that insurance companies can determine the contracts deliberately.
综合医疗保健法规能够打破门诊和住院医疗保健分离的障碍。这些法规营造了医疗保健提供者之间的竞争局面，但付款人之间不存在竞争。由于这些法律将竞争法、反垄断法和公共采购法的一般规定排除在综合医疗保健之外，保险公司在合同竞争中获得了相对强势的地位。没有任何医疗保健提供者有权要求与特定保险公司签订合同这一事实更是强化了这种情况。主要结果是保险公司能够故意决定合同内容。
