Risk adjustment revisited using machine learning techniques

AJ Riascos Villegas, M Romero, N Serna - 2017 - repositorio.uniandes.edu.co
Risk adjustment is vital in health policy design. Risk adjustment defines the annual
capitation payments to health insurers and is a key determinant of insolvency risk for health …

The impact of a national formulary expansion on diabetics

C McNamara, N Serna - Health Economics, 2022 - Wiley Online Library
This paper estimates the causal effect of the expansion of Colombia's national prescription
drug formulary to include five new types of insulin on the healthcare utilization and costs of …

[PDF][PDF] Poder de mercado, contratos y resultados de salud en el sistema de salud colombiano entre 2009 y 2011

JE Carranza, ÁJ Riascos, N Serna… - … de Economía; No …, 2015 - repositorio.banrep.gov.co
En este artículo se estudian los tipos de contrato entre las aseguradoras y los prestadores
de servicios de salud en Colombia. Específicamente, se estudia su relación con los …

[PDF][PDF] Cost Sharing Design in Public Health Insurance: Effects on Prices and Consumers

N Serna - 2021 - nsernab.github.io
I analyze the impact of cost-sharing on welfare and negotiated prices between insurers and
hospitals using a model of hospital choice and Nash-in-Nash bargaining with data from the …

[HTML][HTML] Mecanismos de compensación complementarios al ajuste de riesgo prospectivo en el SGSSS en Colombia y la Cuenta de Alto Costo

ÁJ Riascos Villegas - Desarrollo y Sociedad, 2013 - scielo.org.co
Usando la teoría de los contratos óptimos en presencia de información asimétrica, este
artículo racionaliza los mecanismos de compensación ex post en los sistemas competitivos …

[图书][B] Essays in the Economics of Health Insurance

NS Borrero - 2023 - search.proquest.com
Rising health care costs motivate the use of demand-and supply-side mechanisms to control
the consumption of health services, and generate incentives for insurers to engage in risk …

[图书][B] Essays on the Industrial Organization of Healthcare Markets

C McNamara - 2022 - search.proquest.com
Electronic health record (EHR) alerts can serve as nudges that remind physicians of relevant
clinical guidelines and inform them when their patients are eligible for recommended …

Capital requirements of health insurers under different risk-adjusted capitation payments

ÁJ Riascos Villegas, N Serna, R Guerrero - 2017 - repositorio.uniandes.edu.co
Defining optimal capital requirements for health insurers is a matter of interest for policy-
makers. They determine the insolvency probability of health insurers and the minimum …

A supervised clustering MCMC methodology for large categorical feature spaces

S Ramírez, AJ Quiroz… - Statistical Methods in …, 2021 - journals.sagepub.com
There is a well-established tradition within the statistics literature that explores different
techniques for reducing the dimensionality of large feature spaces. The problem is central to …

Regression by clustering using Metropolis-Hastings

S Ramírez Amaya - 2019 - repositorio.uniandes.edu.co
Resumen" El ajuste de riesgo en mercados de aseguramiento en salud tiene el potencial
para desincentivar la selección de consumidores sin afectar la eficiencia de la oferta …