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How Does Risk Selection Respond to Risk Adjustment? New Evidence from the Medicare Advantage Program
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References

  • 1991Multitask Principal–Agent Analyses: Incentive Contracts, Asset Ownership, and Job Design6,042 cited
  • 1980Health Care Financing Review2,504 cited
  • 1997The Proper Scope of Government: Theory and an Application to Prisons1,773 cited
  • 1992Incentive Contracts and Performance Measurement1,085 cited
  • 2003Rotten Apples: An Investigation of the Prevalence and Predictors of Teacher Cheating865 cited
  • 2004Risk adjustment of Medicare capitation payments using the CMS-HCC model.805 cited
  • 2008Cost of Care for Elderly Cancer Patients in the United States700 cited
  • 2008Sources of Advantageous Selection: Evidence from the Medigap Insurance Market493 cited
  • 2006What Mean Impacts Miss: Distributional Effects of Welfare Reform Experiments427 cited
  • 2000Chapter 14 Risk adjustment in competitive health plan markets410 cited
  • 2005How Do Hospitals Respond to Price Changes?400 cited
  • 2004Medicare upcoding and hospital ownership356 cited
  • 2011Selection in Insurance Markets: Theory and Empirics in Pictures354 cited
  • 1998Analyzing The Evidence On European Health Care Reforms191 cited

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  • 2019Upcoding: Evidence from Medicare on Squishy Risk Adjustment

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251 cited
  • 2012Pricing and Welfare in Health Plan Choice237 cited
  • 2014Consumer Inertia and Firm Pricing in the Medicare Part D Prescription Drug Insurance Exchange183 cited
  • 2011Causes and Consequences of Regional Variations in Health Care11This chapter was written for the Handbook of Health Economics (Vol. 2). My greatest debt is to John E. Wennberg for introducing me to the study of regional variations. I am also grateful to Handbook authors Elliott Fisher, Joseph Newhouse, Douglas Staiger, Amitabh Chandra, and especially Mark Pauly for insightful comments, and to the National Institute on Aging (PO1 AG19783) for financial support.171 cited
  • 2017Perfect Competition in Markets With Adverse Selection144 cited
  • 2019Health Care Spending and Utilization in Public and Private Medicare143 cited
  • 2012Steps To Reduce Favorable Risk Selection In Medicare Advantage Largely Succeeded, Boding Well For Health Insurance Exchanges135 cited
  • 2018Do Larger Health Insurance Subsidies Benefit Patients or Producers? Evidence from Medicare Advantage128 cited
  • 2012New Risk-Adjustment System Was Associated With Reduced Favorable Selection In Medicare Advantage127 cited
  • 2013The spillover effects of Medicare managed care: Medicare Advantage and hospital utilization124 cited
  • 2015High-Cost Patients Had Substantial Rates Of Leaving Medicare Advantage And Joining Traditional Medicare121 cited
  • 2015How Much Favorable Selection Is Left in Medicare Advantage?120 cited
  • 2014How Successful Is Medicare Advantage?117 cited
  • 2017Imperfect Competition in Selection Markets107 cited
  • 2016Who benefits when the government pays more? Pass-through in the Medicare Advantage program102 cited
  • 2015The Effects of Medicare on Medical Expenditure Risk and Financial Strain93 cited