11 research outputs found
Loont Kwaliteit? Position paper: bijdrage aan de fundamentele discussie over de risicoverevening
Hoe problematisch is een onder- of overcompensatie? Position paper: bijdrage aan de fundamentele discussie over de risicoverevening
Hoe problematisch is een onder- of overcompensatie? Position paper: bijdrage aan de fundamentele discussie over de risicoverevening
Loont Kwaliteit? Position paper: bijdrage aan de fundamentele discussie over de risicoverevening
Hoe kan de Nederlandse Zorgautoriteit (NZa) risicoselectie op de zorgverzekeringsmarkt aantonen en meten?
Optimal deductibles for outpatient services
Co-insurance, Deductible, Outpatient benefits, Price elasticity, I11,
Improving the prediction model used in risk equalization: cost and diagnostic information from multiple prior years
Risk-type concentration and efficiency incentives: a challenge for the risk adjustment formula
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 selection, specialisation or just coincidence-cost savings can be captured by the RACPs and leak away from these plans