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How to deal with persistently low/high spenders in health plan payment systems?

Health insurance markets with community‐rated premiums typically include risk adjustment (RA) to mitigate selection problems. Over the past decades, RA systems have evolved from simple demographic models to sophisticated morbidity‐based models. Even the most sophisticated models, however, tend to ov...

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Detalles Bibliográficos
Autores principales: van Kleef, Richard C., van Vliet, René C. J. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9305280/
https://www.ncbi.nlm.nih.gov/pubmed/35137476
http://dx.doi.org/10.1002/hec.4477