Optimal risk adjustment in markets with adverse selection: an application to managed care
Article Abstract:
Risk adjustment in the managed care health plan marketplace is discussed.
Publication Name: American Economic Review
Subject: Economics
ISSN: 0002-8282
Year: 2000
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Managed care, information, and diffusion: the case of treatment for heart-attack patients
Article Abstract:
The influence of health maintenance organizations and other managed care organizations on the treatment patterns provided to the patients is observed. A case where common therapies are used for heart-attack patients is considered.
Publication Name: American Economic Review
Subject: Economics
ISSN: 0002-8282
Year: 2004
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Optimal health insurance and provider payment
Article Abstract:
An analysis of optimal health insurance administration in the absence of contractible payment methods and patient-determined input reveals that verifiable treatment reports and patient input is the best practice with truthful reporting constituting the 'second best' practice. The study also reveals that fraudulent reporting practices increase constraints that is offset by competition among physicians.
Publication Name: American Economic Review
Subject: Economics
ISSN: 0002-8282
Year: 1997
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