Exploring Trust in Health Insurers: Insights from Enrollees’ Perceptions and Experiences

Managed competition is a key driver in healthcare systems in countries like Germany, Switzerland, and The Netherlands. Trust in health insurers is vital but currently low in The Netherlands. This may be due to perceptions regarding profit motives, negative experiences, media coverage, and a lack of...

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Main Authors: Frank J. P. van der Hulst, Sanne Huijgen, Anne E. M. Brabers, Judith D. de Jong
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Journal of Market Access & Health Policy
Subjects:
Online Access:https://www.mdpi.com/2001-6689/13/2/29
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author Frank J. P. van der Hulst
Sanne Huijgen
Anne E. M. Brabers
Judith D. de Jong
author_facet Frank J. P. van der Hulst
Sanne Huijgen
Anne E. M. Brabers
Judith D. de Jong
author_sort Frank J. P. van der Hulst
collection DOAJ
description Managed competition is a key driver in healthcare systems in countries like Germany, Switzerland, and The Netherlands. Trust in health insurers is vital but currently low in The Netherlands. This may be due to perceptions regarding profit motives, negative experiences, media coverage, and a lack of understanding of insurers’ roles. This study explores how enrollees perceive health insurers and how the aforementioned factors contribute to these perceptions. Semi-structured interviews were conducted with 17 participants from the Nivel Dutch Health Care Consumer Panel in March and April 2023. Data were analysed using Braun and Clarke’s six-step method for inductive thematic analysis. Participants generally view health insurers positively in terms of managing finances and ensuring care accessibility. However, some perceive insurers as profit-driven and prioritising cost reduction over individual needs, leading to dissatisfaction. Negative experiences and media coverage also shape these perceptions. Participants believe that insurers should ensure care accessibility and quality, distribute costs fairly, provide guidance, and prioritise preventive measures. To foster trust, insurers should communicate their non-profit status and use of benefits, increase transparency in purchasing decisions, and maintain clear communication about payment obligations. Enhancing communication about their contributions to healthcare and raising awareness of their broader roles may also help build trust.
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spelling doaj-art-62dd7dcb5725479bb275dd162c2d76162025-08-20T03:27:25ZengMDPI AGJournal of Market Access & Health Policy2001-66892025-06-011322910.3390/jmahp13020029Exploring Trust in Health Insurers: Insights from Enrollees’ Perceptions and ExperiencesFrank J. P. van der Hulst0Sanne Huijgen1Anne E. M. Brabers2Judith D. de Jong3Nivel, The Netherlands Institute for Health Services Research, P.O. Box 1568, 3500 BN Utrecht, The NetherlandsNivel, The Netherlands Institute for Health Services Research, P.O. Box 1568, 3500 BN Utrecht, The NetherlandsNivel, The Netherlands Institute for Health Services Research, P.O. Box 1568, 3500 BN Utrecht, The NetherlandsNivel, The Netherlands Institute for Health Services Research, P.O. Box 1568, 3500 BN Utrecht, The NetherlandsManaged competition is a key driver in healthcare systems in countries like Germany, Switzerland, and The Netherlands. Trust in health insurers is vital but currently low in The Netherlands. This may be due to perceptions regarding profit motives, negative experiences, media coverage, and a lack of understanding of insurers’ roles. This study explores how enrollees perceive health insurers and how the aforementioned factors contribute to these perceptions. Semi-structured interviews were conducted with 17 participants from the Nivel Dutch Health Care Consumer Panel in March and April 2023. Data were analysed using Braun and Clarke’s six-step method for inductive thematic analysis. Participants generally view health insurers positively in terms of managing finances and ensuring care accessibility. However, some perceive insurers as profit-driven and prioritising cost reduction over individual needs, leading to dissatisfaction. Negative experiences and media coverage also shape these perceptions. Participants believe that insurers should ensure care accessibility and quality, distribute costs fairly, provide guidance, and prioritise preventive measures. To foster trust, insurers should communicate their non-profit status and use of benefits, increase transparency in purchasing decisions, and maintain clear communication about payment obligations. Enhancing communication about their contributions to healthcare and raising awareness of their broader roles may also help build trust.https://www.mdpi.com/2001-6689/13/2/29trusthealth insurersmanaged competitionhealthcare systemenrolleestasks
spellingShingle Frank J. P. van der Hulst
Sanne Huijgen
Anne E. M. Brabers
Judith D. de Jong
Exploring Trust in Health Insurers: Insights from Enrollees’ Perceptions and Experiences
Journal of Market Access & Health Policy
trust
health insurers
managed competition
healthcare system
enrollees
tasks
title Exploring Trust in Health Insurers: Insights from Enrollees’ Perceptions and Experiences
title_full Exploring Trust in Health Insurers: Insights from Enrollees’ Perceptions and Experiences
title_fullStr Exploring Trust in Health Insurers: Insights from Enrollees’ Perceptions and Experiences
title_full_unstemmed Exploring Trust in Health Insurers: Insights from Enrollees’ Perceptions and Experiences
title_short Exploring Trust in Health Insurers: Insights from Enrollees’ Perceptions and Experiences
title_sort exploring trust in health insurers insights from enrollees perceptions and experiences
topic trust
health insurers
managed competition
healthcare system
enrollees
tasks
url https://www.mdpi.com/2001-6689/13/2/29
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AT sannehuijgen exploringtrustinhealthinsurersinsightsfromenrolleesperceptionsandexperiences
AT anneembrabers exploringtrustinhealthinsurersinsightsfromenrolleesperceptionsandexperiences
AT judithddejong exploringtrustinhealthinsurersinsightsfromenrolleesperceptionsandexperiences