How to deal with persistently low/high spenders in health plan payment systems?
Sign Up to like & getrecommendations! Published in 2022 at "Health economics"
DOI: 10.1002/hec.4477
Abstract: Health insurance markets with community-rated premiums typically include risk adjustment (RA) to mitigate selection problems. Over the past decades, RA systems have evolved from simple demographic models to sophisticated morbidity-based models. Even the most sophisticated… read more here.
Keywords: plan payment; health; health plan; spending ... See more keywords
Data transformations to improve the performance of health plan payment methods.
Sign Up to like & getrecommendations! Published in 2019 at "Journal of health economics"
DOI: 10.1016/j.jhealeco.2019.05.005
Abstract: The conventional method for developing health care plan payment systems uses observed data to study alternative algorithms and set incentives for the health care system. In this paper, we take a different approach and transform… read more here.
Keywords: health plan; data transformations; health; plan payment ... See more keywords