The effect of a ban on gender‐based pricing on risk selection in the German health insurance market

S Huang, M Salm - Health economics, 2020 - Wiley Online Library
care expenditures than men, our results imply a worsening of the PHI risk pool and an
improvement of the SHI riskrisk selection between public and private health insurance sectors. …

The interaction of direct and indirect risk selection

N Lorenz - Journal of Health Economics, 2015 - Elsevier
… repel unprofitable individuals are said to engage in risk selection. Two forms of risk selection
can be distinguished: direct risk selection (DRS) and indirect risk selection (IRS). With DRS, …

Mitigating Risk Selection in Health Care Entitlement Programs: A Patient-Level Competitive Bidding Approach

D Montanera, A Mishra, TS Raghu - Available at SSRN 3523408, 2020 - papers.ssrn.com
… enrollment for beneficiaries with managed care plans. … care entitlement programs have
already used competitive bidding to influence beneficiary enrollment across managed care plans. …

[PDF][PDF] Selection in Massachusetts' Commonwealth Care program: Lessons for state basic health plans

D Chollet, A Barrett, A Lischko - State Health Access Data Assistance …, 2012 - shadac.org
… been enrolled in an exchange plan. Risk selection is a major concern for states as they
plan exchanges and decide whether to develop a Basic Health Plan. The enrollment of many …

The basis of the Dutch obstetric system: risk selection

JMJ Bais, M Pel - European clinics in obstetrics and Gynaecology, 2006 - Springer
… upon risk selection and risk management. The level of care is matched to the level of risk.
Low-… The risk selection process is not only an incidental judgement at the start of prenatal …

Do health plans risk-select? An audit study on Germany's Social Health Insurance

S Bauhoff - Journal of Public Economics, 2012 - Elsevier
risk selection aim at limiting plans' access to information about risk types, restricting
mechanisms for selection and reducing the potential gains from selection by adjusting payments to …

Addressing market segmentation and incentives for risk selection: How well does risk equalisation in the Irish private health insurance market work?

C Keegan, C Teljeur, B Turner, S Thomas - The Economic and Social Review, 2017 - esr.ie
… of Ireland’s recently introduced risk equalisation scheme in its … risk equalisation is especially
important in an Irish context given acute risk segmentation and incentives for risk selection

Risk factors associated with developing branch retinal vein occlusion among enrollees in a United States managed care plan

PA Newman-Casey, M Stem, N Talwar, DC Musch… - Ophthalmology, 2014 - Elsevier
… Previously, we studied risk factors associated with CRVO and found that HTN, … all increased
the risk of CRVO. We postulated that risk factors for BRVO may differ some from risk factors …

Treatment effects of selection behavior in managed care plans: evidence from Medicaid

CS Gomes - Portuguese Economic Journal, 2003 - Springer
… payments to Medicaid managed care plans induce to plans’ strategic undercutting of …
Given the possibility of selection of lower risks in the managed care plans, differences in the …

Effects of Changes in Diabetes Pay‐for‐Performance Incentive Designs on Patient Risk Selection

HM Hsieh, SL Tsai, LW Mau… - Health services research, 2016 - Wiley Online Library
… This study examined how the change in design affected patient risk selection. … in each
phase to determine probability of patient risk selection for that phase. We generated the adjusted …