Risk-adjusted capitation
| Autor: | Erik M. van Barneveld, René C.J.A. van Vliet, Leida M. Lamers, Wynand P.M.M. van de Ven |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 1994 |
| Předmět: |
National Health Programs
media_common.quotation_subject Insurance Selection Bias SDG 3 - Good Health and Well-being Health care Economics Risk equalization health care economics and organizations media_common Risk adjusted Netherlands Actuarial science Capitation Public economics business.industry Health Policy Insurance Benefits food and beverages Risk adjustment Payment Managed Competition Cream skimming Health Care Reform Costs and Cost Analysis Capitation Fee business |
| Zdroj: | Health Affairs. 13(5):120-136 |
| ISSN: | 0278-2715 |
| Popis: | The market-oriented health care reforms taking place in the Netherlands show a clear resemblance to the proposals for managed competition in U.S. health care. In both countries good risk adjustment mechanisms that prevent cream skimming - that is, that prevent plans from selecting the best health risks - are critical to the success of the reforms. In this paper we present an overview of the Dutch reforms and of our research concerning risk-adjusted capitation payments. Although we are optimistic about the technical possibilities for solving the problem of cream skimming, the implementation of good risk-adjusted capitation is a long-term challenge. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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