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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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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 |