Risk Adjustment Risk Sharing and Premium Regulation in Health Insurance Markets

Written By Thomas G. McGuire
Risk Adjustment  Risk Sharing and Premium Regulation in Health Insurance Markets
  • Publsiher : Academic Press
  • Release : 06 August 2018
  • ISBN : 012811326X
  • Pages : 648 pages
  • Rating : 4/5 from 21 reviews
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Read or download book entitled Risk Adjustment Risk Sharing and Premium Regulation in Health Insurance Markets written by Thomas G. McGuire which was release on 06 August 2018, this book published by Academic Press. Available in PDF, EPUB and Kindle Format. Book excerpt: Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems. Part I contains 5 chapters discussing the role of health plan payment in regulated health insurance markets, key aspects of payment design (i.e. risk adjustment, risk sharing and premium regulation), and evaluation methods using administrative data on medical spending. Part II contains 14 chapters describing the health plan payment system in 14 countries and sectors around the world, including Australia, Belgium, Chile, China, Columbia, Germany, Ireland, Israel, the Netherlands, Russia, Switzerland and the United States. Authors discuss the evolution of these payment schemes, along with ongoing reforms and key lessons on the design of health plan payment. Provides a conceptual toolkit that describes the goals, design and evaluation of health plan payment systems in the context of policy paradigms, such as efficiency, affordability, fairness and avoidance of risk selection Brings together international experience from many different countries that apply regulated competition in different ways Delivers a practical toolkit for the evaluation of health plan payment modalities from the standpoint of efficiency and fairness

Risk Adjustment Risk Sharing and Premium Regulation in Health Insurance Markets

Risk Adjustment  Risk Sharing and Premium Regulation in Health Insurance Markets
  • Author : Thomas G. McGuire,Richard C. Van Kleef
  • Publisher : Academic Press
  • Release Date : 2018-08-06
  • Total pages : 648
  • ISBN : 012811326X
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Summary : Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems. Part I contains 5 chapters discussing the role of health plan payment in regulated health insurance markets, key aspects of payment design (i.e. risk adjustment, ...

Epidemics and the Health of African Nations

Epidemics and the Health of African Nations
  • Author : MISTRA
  • Publisher : The Mapungubwe Institute for Strategic Reflection (MISTRA)
  • Release Date : 2019-07-25
  • Total pages : 440
  • ISBN : 012811326X
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Summary : News footage of disease in Africa is a familiar sight. Yet these outbreaks are often presented out of context, with no reference to the conditions that have triggered them. MISTRA’s new book, Epidemics and the Health of African Nations, aims to redress that. Researchers and practitioners from within the ...

Private Health Insurance and the European Union

Private Health Insurance and the European Union
  • Author : Cyril Benoît,Marion Del Sol,Philippe Martin
  • Publisher : Springer Nature
  • Release Date : 2020-12-03
  • Total pages : 328
  • ISBN : 012811326X
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Summary : Research has paid little attention to date on how European Union law and regulation affect both the public-private mix in healthcare and the organization of private health insurance as an industry. Filling this gap, this collective book provides insights on the political economy of EU insurance regulation, its impact on ...

Models of Health Plan Payment and Quality Reporting

Models of Health Plan Payment and Quality Reporting
  • Author : Jacob Glazer,Thomas G McGuire
  • Publisher : World Scientific Publishing Company
  • Release Date : 2016-12-22
  • Total pages : 208
  • ISBN : 012811326X
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Summary : The book pulls together a series of articles by the authors that initiated the research areas of "optimal risk adjustment" and "optimal quality reporting." The papers present the basic theoretical models and link them to empirical application. Design of health insurance premiums to achieve efficient and fair outcomes is also ...

The Oxford Handbook of the Welfare State

The Oxford Handbook of the Welfare State
  • Author : Daniel Béland,Kimberly J. Morgan,Herbert Obinger,Christopher Pierson
  • Publisher : Oxford University Press
  • Release Date : 2021-10-22
  • Total pages : 1024
  • ISBN : 012811326X
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Summary : This is the much anticipated revised second edition of a volume that was welcomed at its first appearance as 'the most authoritative survey and critique of the welfare state yet published'. It is an indispensable one-volume guide to what modern states spend most of their time and money doing....

State Health Insurance Market Reform

State Health Insurance Market Reform
  • Author : Joel C. Cantor,Alan C. Monheit
  • Publisher : Routledge
  • Release Date : 2012-09-25
  • Total pages : 192
  • ISBN : 012811326X
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Summary : In this volume, leading American health economists provide a critical assessment of the current state of knowledge of insurance market reform that is accessible to both policy-makers and researchers....

Health Insurance Market Reform

Health Insurance Market Reform
  • Author : United States,United States. Congress. Senate. Committee on Finance
  • Publisher : Unknown
  • Release Date : 1994
  • Total pages : 138
  • ISBN : 012811326X
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Summary : Download or read online Health Insurance Market Reform written by United States,United States. Congress. Senate. Committee on Finance, published by which was released on 1994. Get Health Insurance Market Reform Books now! Available in PDF, ePub and Kindle....

Federal Register

Federal Register
  • Author : Anonim
  • Publisher : Unknown
  • Release Date : 2013-08
  • Total pages : 212
  • ISBN : 012811326X
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Summary : Download or read online Federal Register written by , published by which was released on 2013-08. Get Federal Register Books now! Available in PDF, ePub and Kindle....

Health Care Financing and Insurance

Health Care Financing and Insurance
  • Author : Francesco Paolucci
  • Publisher : Springer Science & Business Media
  • Release Date : 2010-10-28
  • Total pages : 115
  • ISBN : 012811326X
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Summary : As a contribution to the search for suitable and sustainable solutions to finance rising medical care expenditures, the book proposes a typology of healthcare financing and insurance schemes, based on the dimensions of basic vs. supplementary services and mandatory vs. voluntary coverage, to analyse the design and the complex interactions ...

Patient Protection and Affordable Care ACT HHS Notice of Benefit and Payment Parameters for 2014 Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition

Patient Protection and Affordable Care ACT   HHS Notice of Benefit and Payment Parameters for 2014  Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition
  • Author : The Law The Law Library
  • Publisher : Createspace Independent Publishing Platform
  • Release Date : 2018-07-05
  • Total pages : 268
  • ISBN : 012811326X
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Summary : Patient Protection and Affordable Care Act - HHS Notice of Benefit and Payment Parameters for 2014 (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - HHS Notice of Benefit and Payment Parameters for 2014 (US ...

How Adverse Selection Affects the Health Insurance Market

How Adverse Selection Affects the Health Insurance Market
  • Author : Paolo Belli
  • Publisher : World Bank Publications
  • Release Date : 2021-10-18
  • Total pages : 31
  • ISBN : 012811326X
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Summary : There may be a price to pay (in terms of inefficient coverage) if competition among health insurers is encouraged as a way to give patients greater choice and to achieve better control over insurance providers....

The OECD Health Project Private Health Insurance in OECD Countries

The OECD Health Project Private Health Insurance in OECD Countries
  • Author : OECD
  • Publisher : OECD Publishing
  • Release Date : 2004-11-12
  • Total pages : 240
  • ISBN : 012811326X
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Summary : This report provides the first-ever comparative analysis of the role and performance of private health insurance (PHI) in OECD countries....

Encyclopedia of Health Economics

Encyclopedia of Health Economics
  • Author : Anonim
  • Publisher : Newnes
  • Release Date : 2014-02-21
  • Total pages : 1664
  • ISBN : 012811326X
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Summary : The Encyclopedia of Health Economics offers students, researchers and policymakers objective and detailed empirical analysis and clear reviews of current theories and polices. It helps practitioners such as health care managers and planners by providing accessible overviews into the broad field of health economics, including the economics of designing health ...

Patient Protection and Affordable Care ACT Standards Related to Reinsurance Risk Corridors and Risk Adjustment Us Department of Health and Human Services Regulation Hhs 2018 Edition

Patient Protection and Affordable Care ACT   Standards Related to Reinsurance  Risk Corridors and Risk Adjustment  Us Department of Health and Human Services Regulation   Hhs   2018 Edition
  • Author : The Law The Law Library
  • Publisher : Createspace Independent Publishing Platform
  • Release Date : 2018-11-10
  • Total pages : 76
  • ISBN : 012811326X
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Summary : Patient Protection and Affordable Care Act - Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Standards Related to Reinsurance, Risk Corridors and Risk ...

The Effects of the ACA on Actuarial Pricing

The Effects of the ACA on Actuarial Pricing
  • Author : Anonim
  • Publisher : Unknown
  • Release Date : 2016
  • Total pages : 33
  • ISBN : 012811326X
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Summary : In the United States, the Patient Protection and Affordable Care Act (PPACA or ACA) drastically altered the health insurance industry. Insurers are no longer able to deny coverage or charge higher premiums based on an individual's medical history. In order to more evenly spread the financial risks associated with these ...