Zobrazeno 1 - 10
of 37
pro vyhledávání: '"Richard C. van Kleef"'
Publikováno v:
Health Economics Review, Vol 14, Iss 1, Pp 1-15 (2024)
Abstract Many health insurance markets are organized by principles of regulated competition. Regulators of these markets typically apply risk equalization (aka risk adjustment) and risk sharing to mitigate risk selection. Risk equalization and risk s
Externí odkaz:
https://doaj.org/article/2527eaae14fa4a2f9c0afd8a31f052ce
Publikováno v:
Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 48 (2011)
An important goal of consumer cost-sharing in health insurance is to increase incentives for cost containment. A relatively new cost-sharing phenomenon is the “doughnut hole”: a gap in coverage starting at a predefined level of medical expenses.
Externí odkaz:
https://doaj.org/article/2b70b961d5c341a7821df1e92c6883cd
Publikováno v:
Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 47 (2010)
This paper examines a new risk adjuster for capitation payments to Dutch health plans, based on the prior use of durable medical equipment (DME). The essence is to classify users of DME in a previous year into clinically homogeneous classes and to ap
Externí odkaz:
https://doaj.org/article/d811a328875149f3b2ae85db991807bd
Publikováno v:
International Journal of Health Economics and Management, 23(2), 303-324. Springer Science+Business Media
Health insurance markets with community-rated premiums typically use risk equalization (RE) to compensate insurers for predictable profits on people in good health and predictable losses on those with a chronic disease. Over the past decades RE model
Externí odkaz:
https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1b0ba774d4521cc1888ce07a55e5c517
https://pure.eur.nl/en/publications/c607b90b-5466-4680-b789-784e90b07807
https://pure.eur.nl/en/publications/c607b90b-5466-4680-b789-784e90b07807
Publikováno v:
European Journal of Health Economics. Springer-Verlag
Many community-rated health insurance markets include risk equalization (also known as risk adjustment) to mitigate risk selection incentives for competing insurers. Empirical evaluations of risk equalization typically quantify selection incentives t
Publikováno v:
Health Policy, 131:104763. Elsevier Ireland Ltd
Many social health insurance systems rely on ‘regulated competition’ among insurers to improve efficiency. In the presence of community-rated premiums, risk equalization is an important regulatory feature to mitigate risk-selection incentives in
Externí odkaz:
https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ababb0ef8032433ff199194de4224577
https://pure.eur.nl/en/publications/69aaddb7-d649-47f7-9820-87ac6fe8a260
https://pure.eur.nl/en/publications/69aaddb7-d649-47f7-9820-87ac6fe8a260
Publikováno v:
Health Policy, 123(10), 976-981. Elsevier Ireland Ltd
Many countries have cost sharing schemes in health insurance to control health care expenditures. The Dutch basic health insurance includes a mandatory deductible of currently 385 euros per adult per year. To avoid affordability problems, several mun
Autor:
Richard C. van Kleef, Mieke Reuser
Publikováno v:
The European Journal of Health Economics
European Journal of Health Economics, 22(7), 1005-1016. Springer-Verlag
European Journal of Health Economics, 22(7), 1005-1016. Springer-Verlag
The COVID-19 pandemic has led to disruptions in healthcare utilization and spending. While some changes might persist (e.g. substitution of specialist visits by online consultations), others will be transitory (e.g. fewer surgical procedures due to c
Publikováno v:
American Journal of Health Economics, 6(1), 139-168. The University of Chicago Press
Reinsurance can complement risk adjustment of health plan payments to improve fit of payments to plan spending at the individual and group level. This paper proposes three improvements in h...
Externí odkaz:
https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4ad86093808e90648b5ad0b492bcd230
https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&origin=inward&scp=85086035286
https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&origin=inward&scp=85086035286
Publikováno v:
American Journal of Health Economics, 6(4), 477-497. The University of Chicago Press
Health insurance markets with regulated premiums typically include risk adjustment (RA) to mitigate selection incentives. Even the most sophisticated RA models, however, tend to undercompen...
Externí odkaz:
https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e945295be1e989107c0aaac106dc87d1
https://pure.eur.nl/en/publications/5f8a8c16-6e81-41bc-9858-ca8a3f2913de
https://pure.eur.nl/en/publications/5f8a8c16-6e81-41bc-9858-ca8a3f2913de