Publication:
Risk-type concentration and efficiency incentives: a challenge for the risk adjustment formula

Date

Date

Date
2010
Journal Article
Published version

Abstract

Abstract

Abstract
An important goal of risk-adjusted capitation payments (RACPs) to competitive community-rated health plans-that may differ in coverage and/or the organisation of delivering care-is to reduce incentives for risk selection while maintaining incentives for efficiency. In most schemes, RACPs are simply based on the average observed costs in risk groups (in a prior year). We show that under this procedure, incentives for efficiency will not always be maintained: when identical risk types are concentrated in the same health plans-due to sel

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Downloads

3 since deposited on 2011-03-11
Acq. date: 2025-11-12

Views

118 since deposited on 2011-03-11
Acq. date: 2025-11-12

Additional indexing

Creators (Authors)

  • van Kleef, R C
    affiliation.icon.alt
  • Beck, K
    affiliation.icon.alt
  • Buchner, F
    affiliation.icon.alt

Journal/Series Title

Journal/Series Title

Journal/Series Title

Volume

Volume

Volume
35

Number

Number

Number
4

Page range/Item number

Page range/Item number

Page range/Item number
503

Page end

Page end

Page end
520

Item Type

Item Type

Item Type
Journal Article

Dewey Decimal Classifikation

Dewey Decimal Classifikation

Dewey Decimal Classifikation

Scope

Scope

Scope
Discipline-based scholarship (basic research)

Language

Language

Language
English

Publication date

Publication date

Publication date
2010-10

Date available

Date available

Date available
2011-03-11

Publisher

Publisher

Publisher

ISSN or e-ISSN

ISSN or e-ISSN

ISSN or e-ISSN
1018-5895

Additional Information

Additional Information

Additional Information
"Copyright of Geneva Papers on Risk & Insurance - Issues & Practice is the property of Palgrave Macmillan Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)"

OA Status

OA Status

OA Status
Closed

Other Identification Number

Other Identification Number

Other Identification Number
merlin-id:1401

Metrics

Downloads

3 since deposited on 2011-03-11
Acq. date: 2025-11-12

Views

118 since deposited on 2011-03-11
Acq. date: 2025-11-12
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Files
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Files
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