Katherine Swartz, Ewout van Ginneken and Philip Van der Wees
E. van Ginneken, K. Swartz, and P. Van der Wees, "Health Insurance Exchanges in Switzerland and the Netherlands Offer Five Key Lessons for the Operations of U.S. Exchanges," Health Affairs, April 2013 32(4):744–52.
Health reforms in Switzerland and the Netherlands created new insurance markets that are similar to the state and federally operated health insurance exchanges, or marketplaces, scheduled to launch in the United States in 2014. Commonwealth Fund–supported researchers reviewed these countries’ experiences and offer lessons for the U.S. rollout.
The authors identified the following important lessons for U.S. efforts to achieving high enrollment, improved outcomes, and lower costs in the new insurance marketplaces:
Since implementing health reform, Switzerland and the Netherlands have continued to work toward improving managed competition and addressing the unintended effects of their changes. Similarly, U.S. policymakers, the authors say, will need to conduct ongoing analyses of all the insurance marketplaces "to learn what works best to create incentives for efficiency."