This chapter reviews topics related to the demand for health insurance, including the
question of how choice of health insurance should be structured for consumers. After the first …

This report explores the incentive effects of different forms of governance of health-care
organisations. Building on a multidisciplinary literature review, it seeks to map a new terrain …

We survey recent developments in the economic analysis of insurance fraud. The paper first
sets out the two main approaches to insurance fraud that have been developed in the …

Research has shown that managed care (MC) slowed the rate of growth in health care
spending in the 1990s, primarily via lower unit prices paid. However, the mechanism of MC's …

Objective. To examine the effects of market‐level managed care activity on the treatment,
cost, and outcomes of care for Medicare fee‐for‐service acute myocardial infarction (AMI) …

We study how market conditions influence referrals of patients by general practitioners
(GPs). We set up a model of GP referral for the Norwegian health care system, where a GP …

The CMS-HCC risk adjustment system for Medicare Advantage (MA) plans calculates
weights, which are effectively relative prices, for beneficiaries with different observable …

We survey recent developments in the economic analysis of insurance fraud. This chapter
first sets out the two main approaches to insurance fraud that have been developed in the …

Contracts between health insurers and providers are private. By modelling this explicitly, we
find the following. Insurers with bigger provider networks, pay providers higher fee-for …

The present study examines the extent of turnover in mental health provider networks within
public sector managed mental health care over a 1-year period and its association to …