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How profitable is risk selection? A comparison of four risk adjustment models
11 references·2 citing·42 second hop
How profitable is risk selection? A comparison of four risk adjustment models (2002)How profitable is risk selection? A compa…Using diagnoses to describe populations and predict costs. (2000)Using diagnoses to describe p…Optimal Risk Adjustment in Markets with Adverse Selection: An Application to Managed Care (2000)Optimal Risk Adjustment in Ma…Chapter 14 Risk adjustment in competitive health plan markets (2000)Chapter 14 Risk adjustment in…The logged dependent variable, heteroscedasticity, and the retransformation problem (1998)The logged dependent variable…Risk Adjustment And Medicare: Taking A Closer Look (1997)Risk Adjustment And Medicare:…Risk-adjusted Medicare capitation rates using ambulatory and inpatient diagnoses. (1996)Risk-adjusted Medicare capita…Diagnosis-based risk adjustment for Medicare capitation payments. (1996)Diagnosis-based risk adjustme…How can we prevent cream skimming in a competitive health insurance market? (1992)How can we prevent cream skim…Do unprofitable patients face access problems? (1989)Do unprofitable patients face…Adjusting capitation rates using objective health measures and prior utilization. (1989)Adjusting capitation rates us…Health insurance and the demand for medical care: evidence from a randomized experiment. (1987)Health insurance and the dema…Do health plans risk-select? An audit study on Germany's Social Health Insurance (2012)Do health plans risk-select? …Risk adjustment in health insurance and its long-term effectiveness (2010)Risk adjustment in health ins…Equilibrium in Competitive Insurance Markets: An Essay on the Economics of Imperfect Information (1976)The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. (1992)The MOS 36-ltem Short-Form Health Survey (SF-36) (1992)Health-Care Systems (2003)Pricing and Welfare in Health Plan Choice (2012)How Does Risk Selection Respond to Risk Adjustment? New Evidence from the Medicare Advantage Program (2014)Consumer-Choice Health Plan (1978)Health Care Financing Review (1980)A Consumer-Choice Health Plan for the 1990s (1989)Cream-skimming, incentives for efficiency and payment system (2003)Risk selection and the specification of the conventional risk adjustment formula (2003)Risk selection in the German public health insurance system (2005)Provider behavior under prospective reimbursement (1986)Rates of Avoidable Hospitalization by Insurance Status in Massachusetts and Maryland (1992)Reimbursing Health Plans and Health Providers: Efficiency in Production versus Selection (1996)Effects of Admission to a Teaching Hospital on the Cost and Quality of Care for Medicare Beneficiaries (1999)Switching costs, price sensitivity and health plan choice (2002)Clinical Risk Groups (CRGs) (2003)A Comparison of Alternative Models for the Demand for Medical Care (1983)Does Free Care Improve Adults' Health? (1983)Estimating the Burden of Disease (1997)Measuring Adverse Selection in Managed Health Care (1998)Principal inpatient diagnostic cost group model for Medicare risk adjustment. (2000)Some Interim Results from a Controlled Trial of Cost Sharing in Health Insurance (1981)Informal care and health care use of older adults (2004)Does Medicare Save Lives? * (2009)Limited-dependent and qualitative variables in econometrics (1983)Medical Care Costs: How Much Welfare Loss? (1992)UNCERTAINTY AND THE WELFARE ECONOMICS OF MEDICAL CARE (2003)The Oregon Health Insurance Experiment: Evidence from the First Year* (2012)Best care at lower cost: the path to continuously learning health care in America (2014)Do competition and managed care improve quality? (2002)Perfect Competition in Markets With Adverse Selection (2017)American Economic Review (2019)Health status of Medicare enrollees in HMOs and fee-for-service in 1994. (1996)Taking health status into account when setting capitation rates: a comparison of risk-adjustment methods (1996)The Medicaid Rx Model (2001)How well does a single question about health predict the financial health of Medicare managed care plans? (1999)Comparison of Performance of Traditional Medicare vs Medicare Managed Care (2004)Predictability and predictiveness in health care spending (2006)Predicting pharmacy costs and other medical costs using diagnoses and drug claims. (2005)Health Care Expenditure Prediction With a Single Item, Self-Rated Health Measure (2009)
this work references cited by second hop

References

  • 1987Health insurance and the demand for medical care: evidence from a randomized experiment.2,043 cited
  • 1998The logged dependent variable, heteroscedasticity, and the retransformation problem877 cited
  • 2000Chapter 14 Risk adjustment in competitive health plan markets410 cited
  • 2000Using diagnoses to describe populations and predict costs.298 cited
  • 1996Diagnosis-based risk adjustment for Medicare capitation payments.288 cited
  • 1989Adjusting capitation rates using objective health measures and prior utilization.243 cited
  • 2000Optimal Risk Adjustment in Markets with Adverse Selection: An Application to Managed Care219 cited
  • 1996Risk-adjusted Medicare capitation rates using ambulatory and inpatient diagnoses.154 cited
  • 1997Risk Adjustment And Medicare: Taking A Closer Look139 cited
  • 1992How can we prevent cream skimming in a competitive health insurance market?129 cited
  • 1989Do unprofitable patients face access problems?69 cited

Cited by

  • 2010Risk adjustment in health insurance and its long-term effectiveness58 cited
  • 2012Do health plans risk-select? An audit study on Germany's Social Health Insurance58 cited

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