Using survey measures to assess risk selection among Medicare managed care plans

AM Zaslavsky, MJB Buntin - … : The Journal of Health Care …, 2002 - journals.sagepub.com
… This paper quantifies risk selection among competing Medicare managed care plans, using
… Thus, we do not know the extent to which risk selection among MMC plans operating in the …

Why are managed care plans less expensive: Risk selection, utilization, or reimbursement?

D Polsky, S Nicholson - Journal of risk and insurance, 2004 - Wiley Online Library
Riskrisk selection, we estimate the degree to which risk selection is observable, which
can help employers decide whether they need to risk adjust premiums or whether the risk

Risk Selection into Consumer‐Directed Health Plans: An Analysis of Family Choices within Large Employers

RD McDevitt, AM Haviland, R Lore… - Health services …, 2014 - Wiley Online Library
… ” plan available; the figure demonstrates substantially more risk selection among those
needing to make an active plan … Figure 2b illustrates how the degree of risk selection differs for …

Risk selection threatens quality of care for certain patients: lessons from Europe's health insurance exchanges

WPMM van de Ven, RC van Kleef, RCJA van Vliet - Health Affairs, 2015 - healthaffairs.org
… most worrisome form of risk selection by insurers: skimping on the quality of care. By this
we mean that insurers could purposely contract with health care providers who might provide …

Patient protection and risk selection: Do primary care physicians encourage their patients to join or avoid capitated health plans according to the patients' health status …

MK Wynia, D Zucker, S Supran, HP Selker - Journal of General Internal …, 2002 - Springer
… at risk selection, physicians who reported that they could provide worse quality care to their
patients in capitated plans … A national survey of the arrangements managed-care plans make …

[HTML][HTML] Risk selection and benefits in the Medicare+ Choice program

R Feldman, B Dowd, M Wrobel - Health Care Financing Review, 2003 - ncbi.nlm.nih.gov
… between M+C plan benefits in 1999 and a measure of risk selection based on inpatient …
coverage in particular, attract high risks. The implication is that M+C plans will offer too few of …

Adjusting for risk selection in state health insurance exchanges will be critically important and feasible, but not easy

JP Weiner, E Trish, C Abrams, K Lemke - Health Affairs, 2012 - healthaffairs.org
… why the Affordable Care Act could lead to favorable or adverse risk selection across plans.
It … cross-section of managed care plans [Internet]. Watertown (MA) : IMS LifeLink Health …

Risk selection in the health care market: a workshop overview

AK Gauthier, JA Lamphere, NL Barrand - Inquiry, 1995 - JSTOR
… , and increased capitation of health care plans, the prob? lem of … Care Financing and
Organization (HCFO) initiative. It was designed first to describe how health plans use risk selection

Innovation and risk selection in deregulated social health insurance

H Lehmann, P Zweifel - Journal of health Economics, 2004 - Elsevier
… predict health care expenditure. The econometric evidence suggests that the … care plans
benefit from risk selection effects. In the case of the health maintenance organization (HMO) plan

[PDF][PDF] How well does a single question about health predict the financial health of Medicare managed care plans?

AS Bierman, TA Bubolz, ES Fisher… - Effective Clinical …, 1999 - researchgate.net
risk selection” can be easily accomplished with a simple question about general health.
Favorable selection into Medicare managed care, first … Evidence suggests that some plans may …