Harkness Project Title: Implementing State-Based Health Insurance Exchanges: Key Issues and Challenges
Placement: Harvard School of Public Health
Mentor: Katherine Swartz, Harvard School of Public Health
Co-Mentor: Timothy Jost, Washington & Lee University
Biography at time of Harkness Fellowship: Ewout van Ginneken, Ph.D., a 2011-12 Dutch Harkness Fellow in Health Care Policy and Practice, is senior researcher at the European Observatory/WHO Collaborating Centre for Health Systems Research and Management, Berlin University of Technology. Previously, he was a lecturer in finance and management at the Instituto Tecnologico y Estudios Superiores de Monterey, Mexico. Van Ginneken is co-author of 8 books, including the last two European Observatory Health Systems in Transition (HiT) books on the Dutch health care system and reforms. With a team of U.S. researchers, led by Thomas Rice, professor of health services at the University of California, Los Angeles, van Ginneken is currently working on the first European Observatory HiT review of the U.S. health care system. He has also written book chapters on the health insurance benefit basket, cost pressures on the health system, public expectations, and cross-border health, as well as peer-reviewed articles on private health insurance in the Netherlands and European pharmaceutical policy. Van Ginneken holds a doctorate in public health from Berlin University of Technology and a master’s in health sciences and health policy and administration from Maastricht University.
Project: Van Ginneken explored experiences with health insurance exchanges in the U.S. and Europe, and examined the conditions necessary for competitive health insurance markets to work, identified barriers to successfully implementing exchanges, and derived policy lessons for U.S. states. He conducted a literature review followed by interviews with academics and officials in charge of implementing the exchanges, with a particular focus on affordability, competition, access, and transparency.
Current Position: Senior Researcher, Department of Health Care Management at the European Observatory/WHO Collaborating Centre for Health Systems Research and Management, Berlin University of Technology and the European Observatory on Health Systems and Policies
Gray BH, van Ginneken E. "Health care for undocumented migrants: European approaches," Issue Brief (Commonw Fund). 2012 Dec;33:1-12.
van Ginneken E, Gray BH. "Coverage for undocumented migrants becomes more urgent," Ann Intern Med 2013 Mar 5;158(5 Pt 1):347-8.
van Ginneken E, Swartz K, Van der Wees P. "Health Insurance Exchanges In Switzerland And The Netherlands Offer Five Key Lessons For The Operations Of US Exchanges," Health Affairs, 2013 Apr;32(4):744-52.
Rice T, Rosenau P, Unruh LY, Barnes AJ, Saltman RB, Van Ginneken E. "The United States health system: transition towards universal coverage," Eurohealth 2013; 19(3): 41-44.
Rice T, Rosenau P, Unruh LY, Barnes AJ, Saltman RB, van Ginneken E. "United States of America: health system review," Health Syst Transit. 2013;15(3):1-431.
van Ginneken E, Groenwegen PP, McKee M. “Personal healthcare budgets: what can England learn from the Netherlands?” BMJ, March 2012.
van Ginneken E, Swartz K. “Implementing Insurance Exchanges: Lessons from Europe,” NEJM, 2012; 367:691-693.