How does risk selection respond to risk adjustment? New evidence from the Medicare Advantage Program
J Brown, M Duggan, I Kuziemko… - American Economic …, 2014 - aeaweb.org
… We develop a simple model to show that plans’ endogenous response to risk adjustment …
it using data from the Medicare Current Beneficiary Survey (MCBS). Before risk adjustment, MA …
it using data from the Medicare Current Beneficiary Survey (MCBS). Before risk adjustment, MA …
[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
… risks. Next, we estimate the relation between M+C plan benefits in 1999 and a measure of
risk selection … drug coverage in particular, attract high risks. The implication is that M+C plans …
risk selection … drug coverage in particular, attract high risks. The implication is that M+C plans …
Steps to reduce favorable risk selection in Medicare Advantage largely succeeded, boding well for health insurance exchanges
JP Newhouse, M Price, J Huang, JM McWilliams… - Health …, 2012 - healthaffairs.org
… relative to those who remained in traditional Medicare markedly … similar policies to combat
risk selection, our results give … selection into the Medicare Advantage program declined. …
risk selection, our results give … selection into the Medicare Advantage program declined. …
Predicting risk selection following major changes in Medicare
… Medicare prescription drug coverage. Specifically, we attempt to determine whether adverse
risk selection in PDPs without risk adjustment, risk … Beneficiary i will choose plan j if Uij > Uik …
risk selection in PDPs without risk adjustment, risk … Beneficiary i will choose plan j if Uij > Uik …
The effect of benefits, premiums, and health risk on health plan choice in the Medicare program
… beneficiary characteristics on the probability of enrollment in a Medicare+Choice plan. …
benefits on risk selection could be ignored because the costs associated with selection rate. …
benefits on risk selection could be ignored because the costs associated with selection rate. …
Favorable risk selection in Medicare Advantage: trends in mortality and plan exits among nursing home beneficiaries
… We hypothesize that despite the MMA, favorable risk selection has not been eliminated
when examining mortality differences and switch rates, particularly, in the NH enrollees. …
when examining mortality differences and switch rates, particularly, in the NH enrollees. …
New risk-adjustment system was associated with reduced favorable selection in Medicare Advantage
… in risk selection, we compared differences in self-reported health care use and health between
Medicare Advantage and traditional Medicare … observe Medicare Advantage plan choices …
Medicare Advantage and traditional Medicare … observe Medicare Advantage plan choices …
Getting what we pay for: how do risk‐based payments to Medicare advantage plans compare with alternative measures of beneficiary health risk?
… This procedure removes the effects of differential health risk selection into Part D, either at
a point in time or over time, because there is no reason to believe that coding intensity would …
a point in time or over time, because there is no reason to believe that coding intensity would …
Service-level selection: strategic risk selection in Medicare Advantage in response to risk adjustment
… more accurately estimate capitated payments to Medicare Advantage (MA) plans to reflect …
of risk selection. We examine the competing claims and analyze the risk selection behavior of …
of risk selection. We examine the competing claims and analyze the risk selection behavior of …
How much favorable selection is left in Medicare Advantage?
JP Newhouse, M Price, JM McWilliams… - American journal of …, 2015 - journals.uchicago.edu
… characteristics to attract good risks and one with fixed plan characteristics; … -selection
regulations is an important policy question, especially since the Medicare Advantage program has …
regulations is an important policy question, especially since the Medicare Advantage program has …
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