Also available as TILEC DP 2009-016 | http://ssrn.com/abstract=1409625
04
Wolf Sauter
2009
An analysis of the general consumer
interest as a source of regulatory
legitimacy in the case of the Dutch
Healthcare Authority
!
$
%
&
"
#
'
(
"
)
*
+
!
'
,--.
*
/* ./0/0 ,1/0 1,
/
/
/
/
2
#
8
$
/
)
/
'
"
/
/
67
9:
"
3
"
5
,--; '
4
"*
34
5
5
1
Electronic copy available at: http://ssrn.com/abstract=1409625
6
"
*
!
(
(
"
#
#
$
%
5
$
&
'
67
,
'
(
"
"
5
!
*
5
+
5
*
"
67
)
8
'
5
$
#
5
"
!
"
5/ 5
6
/
5 :
/
! "
"
,--9
"
1
"
6
)
'
,
<
,--. ?
,;
1
<
3
>
=>
9-9
,--9 ?
>
@ A 3
4
,--A
+,
C
8
>
2
,--@
=.
,--=
&
!
B
B
!
B
B
B B
B
<B
%
+
$
+ +
+
!> 3
2
:
:
:
B B
"
B
4
D
:"4
B
,-@9;@
!
#
>
#?>
2
Electronic copy available at: http://ssrn.com/abstract=1409625
+
+
"
67
,--9
5
@
$
#
4
'
5
"
6%
6%
$
67
+
67
+ %
+
E
F
"
+
%2 /
/
%
$
/
67
B
4
$
$
$
$
$
$
#
$
%
&
,+ "
(
1+
7
5
$
*
'
)
@+
' G7
5
A+ '
%
$
'
)
)
3
"
4
5
!E
F
*
@
E
:
2
7
7
F
!
F
%
$
,--1+,--@ ,; 1,@
H
%
,= %
1/
H
<
,--A 3
$
E
# 6
6
3
67
5
!
%
67
)
%
$
G
*
67
8
!
" #
67
67
"
4
+
67 I
"
+
&
+
<
+
H
<
%
(
<
E
F
$
*
"
B
4
)
67
"
)
!
(
(
67 J
$
67
2
$
%
(
67
J
(
*
J
)
0
*
67 I
)
5
A
A
'
1
"
2
3
,--A+,--9 1- .9
$
2
@, '
4
9
)
?
B
'
5
*
)
"
(
B
'
#
(
(
67
+
$
=
)
67
"
"
4
67
I
.
+
$
67
)
5
B
;
)
"
(
"
)
+K+
!
"
67
(
J#
67
9
=
J
"
5
3
4 % '
#
.
'
E
$
2
E
*
;= 0 > 4
%
&
F ,--= '
!
-A
E
"
, /&
#
4
%
&
*
F
$
3
$
2
A
*
F 4 # #
, :" 2
5
J"
2
;
5
$
%
&
'
,--@+,--A 1- .9
1
,
F ,--. #
$
4
F ,--=
0
E
#
)
@ ,/ 6
'
&$ 3
E
4
F ;;= (
% )
= @
*
$
?5
+
,
,--1 /# % 4
.
8
2
,--@
,--A+,--9 1- .9
L'3M E
)
-*
,*
/0
,(
(
*
+
5
0
"
"
!
E
+
F
'
!
E
F
"
5
67
"
5
+
"
"
67
%
5
'
:
"
*
5
)
'
"
1
%
!
%
/
/
/
<
5
5
"
"
5
&
'
)
)
-
"
-
2
& G
% 4
;;; / ' * ?
E
8
!
2
&
!
%
3
F ,--A '
'
3
1
4
@1;
?5
2
8
;;@ / '
6
•
(
5
)
•
"
B
)
)
•
)
!
J
•
"
!
$
)
)
J
•
2
(
"
)
G
5
$
67
4
G
"
4
)
$
,
'
"
6
)
)
1
# 0
'
8
&
2
%
?5
(
&
'
N
%
G
@@;/ # 0
,--- %
4 '
8
2
&
!2
' "
G
#
1
(
N ,--1 (
3
4
!5
4
3
&$ "
,--- '
4&
4
4
8
2
,--,
4 % C
E
!
B
B
2
,1- >
,--9
"
/3
% 2
?
+"
&
$
G
2
,--9
1
* " 6
,--O
*
+
M
6
/#
B
)
B ,1-
8
/#
2
4&
,--. /
JF6G &
#
2
,--=
/% C
6
7
.-O
+ 5
@--O *
7
"
*
+
+
5
4
5
"
5
(
4
5
E
F ?
"
%
#
%
$
5
'
5
*
5
(
?
B
G
5
+K+
*
5
I
*
!
%
)
"
"
*
E
F
)
"
E
"
F
)
B
)
+
5
@
"
4
!
B
B
@
:
B
0
8
D DH
5
B
#
B
$ %&
# #
'
'
(
8
+
!
A
'
5
*
(
B )
"
!
:
)
67
"
!
"
67
(
)
67
*
!
67
)
(
J
8
*
9
B
5
"
*
#
%
*
E
5
F
5
*
5
%
*
'
?
<
!
"
E
F
<
:
5
+
1
A
8
*
1
#
2
8
2
> &
E
(
,--, /
(8
,
#
*
2
9
4 " 2
E
"
5
;=
E
&
F
;;; 1
%
F ,--9 )
&
;9/G
%
F
)
0
4
$
19@/" 2
;
9
=
+
1
$
G
(
(
5
(
.
'
+
E
F
;
'
B
$
(
+ 5
(
5
5
*
!
:
67
5
"
)
*
(
67
5
)
"
(
E
F
,-
3
*
6
)
(
2
(
+K+
%
'
)
)
$
67
%
!
)
'
(
)
5
"
)
=
4
4
2
C
4?% ,-- @,. ?>,-- 4 ,.=B /
C %
E
"
F ;;; *
'
$
/%
H
7
9
'# %
$
2
,--;
.
% ?
&
8
'
9
!0
!
0
&
M
8
2
6
;., 4 >
<N
" "
&
N ;=
4
)
'
1/& ' 2
N
"
?
&
N ;=@ 4 )
'
11A
;
C %4
$
$
(
8
'
' 0
6
M
;99
,!% C
E
P
I
!
F
;=@ %
0
&
&
& 4
%
/
:; '
'
;;@
9A
10
!
'
*
*
"
67
5
5
"
6
:
*
5
+
"
67
*
I
"
)
67
"
5
)
"
*
)
67
5
67
3
"
6
8 #
(
)
(
E
F"
5
11
NZa
The Dutch Healthcare Authority (NZa) is
The Research Paper Series presents scientific
the regulator of health care markets in the
research on health care markets and addresses
Netherlands. The NZa promotes, monitors and
an international forum. The goal is to enhance
safeguards the working of health care markets.
the knowledge and expertise on the regulation
The protection of consumer interests is an
of health care markets.
important mission for the NZa. The NZa aims
at short term and long term efficiency, market
This paper reflects the personal views of
transparency, freedom of choice for consumers,
authors, which are not necessarily those of
access and the quality of care. Ultimately, the
their employers. This paper is not in any way
NZa aims to secure the best value for money
binding the board of the NZa.
for consumers.
TILEC
TILEC was born out of the recognition that
even if they do not necessarily fall within
the traditional ways of organizing academic
‘Law & Economics’ in the sense of the specific
research - along faculty lines - are no longer
school of thinking which has arisen out of the
adequate today. Researchers in law strive to
work of US academics and is now well-
draw upon economics and yearn to work with
established everywhere.
economists, and vice versa. Furthermore, the
outside world - market actors, authorities,
The mission of TILEC is:
practitioners - has come to expect researchers
-
for participating researchers from the
from law and from economics to work
Faculties of Law and Economics, to provide
together, putting a premium on research that
support and to stimulate joint research
rests on both disciplines. Given its excellent
activities, thereby enhancing the
Faculties of Economics and Law, Tilburg
intellectual climate for research at
University is in an ideal position to meet the
Tilburg University in the area;
expectations of researchers and the outside
-
towards the outside, TILEC aims to belong
world alike. TILEC is meant to be the vehicle
to the top in Europe and to be recognized
for doing so. TILEC will be concerned broadly
as a leading centre in its areas of activity
speaking with the use of both law and
also in the US.
economics in research endeavours,