Modest risk-sharing significantly reduces health plans’ incentives for service distortion

被引：0
|
作者：
Shuli Brammli-Greenberg
Jacob Glazer
Ruth Waitzberg
机构：
[1] Myers-JDC Brookdale Institute and The Hebrew University,The University of Warwick and Faculty of Management
[2] Tel Aviv University,undefined
[3] Myers-JDC Brookdale Institute,undefined
[4] Ben-Gurion University,undefined
[5] Technische Universität in Berlin,undefined
来源：
The European Journal of Health Economics | 2019年 / 20卷
关键词：
Service distortion; Adverse selection; Capitation; Payment mechanisms; Risk-adjustment; Risk-sharing; Managed care; Managed competition; I13; I18;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Public payers often use payment mechanisms as a way to improve the efficiency of the healthcare system. One source of inefficiency is service distortion (SD) in which health plans over/underprovide services in order to affect the mix of their enrollees. Using Israeli data, we apply a new measure of SD to show that a mixed payment scheme, with a modest level of cost-sharing, yields a significant improvement over a pure risk-adjustment scheme. This observation implies that even though mixed systems induce overprovision of some services, their benefits far outweigh their costs.
引用
收藏
页码：1359 / 1374
页数：15
相关论文
共 47 条
  • [31] Risk sharing in a state funded health service: Outcomes guarantee project
    Chapman, SR
    Reeve, E
    VALUE IN HEALTH, 2003, 6 (03) : 210 - 211
  • [32] Financing the treatment of chronic pain: Models for risk-sharing among pain medicine physicians, health care payers, and consumers
    Stieg, RL
    PAIN MEDICINE, 2000, 1 (01) : 78 - 88
  • [33] THE OUTCOMES-BASED RISK-SHARING MODEL FOR TARGETED DRUGS BASED ON THE CZECH NATIONAL REGISTER OF REIMBURSED HEALTH SERVICES
    Rihova, B.
    Benesova, K.
    Jarkovsky, J.
    Demlova, R.
    VALUE IN HEALTH, 2020, 23 : S481 - S481
  • [34] Risk-Adjustment Simulation: Plans May Have Incentives To Distort Mental Health And Substance Use Coverage
    Montz, Ellen
    Layton, Tim
    Busch, Alisa B.
    Ellis, Randall P.
    Rose, Sherri
    McGuire, Thomas G.
    HEALTH AFFAIRS, 2016, 35 (06) : 1022 - 1028
  • [35] CHARACTERISTICS AND HEALTH SERVICE UTILIZATION OF WOMEN ENROLLED IN HEALTH PLANS STILL REQUIRING COST-SHARING FOR INTRAUTERINE DEVICE PLACEMENT IN 2014
    Moniz, M.
    Fendrick, A. M.
    Kolenic, G.
    Kobernik, E.
    Kamdar, N.
    Minadeo, L.
    Dalton, V
    CONTRACEPTION, 2016, 94 (04) : 433 - 434
  • [36] Modeled Health Economic Impact of a Hypothetical Certolizumab Pegol Risk-Sharing Scheme for Patients with Moderate-to-Severe Rheumatoid Arthritis in Finland
    Soini, Erkki
    Asseburg, Christian
    Taiha, Maarit
    Puolakka, Kari
    Purcaru, Oana
    Luosujarvi, Riitta
    ADVANCES IN THERAPY, 2017, 34 (10) : 2316 - 2332
  • [37] Modeled Health Economic Impact of a Hypothetical Certolizumab Pegol Risk-Sharing Scheme for Patients with Moderate-to-Severe Rheumatoid Arthritis in Finland
    Erkki Soini
    Christian Asseburg
    Maarit Taiha
    Kari Puolakka
    Oana Purcaru
    Riitta Luosujärvi
    Advances in Therapy, 2017, 34 : 2316 - 2332
  • [38] Spatial risk adjustment between health insurances: using GWR in risk adjustment models to conserve incentives for service optimisation and reduce MAUP
    Wende, Danny
    EUROPEAN JOURNAL OF HEALTH ECONOMICS, 2019, 20 (07): : 1079 - 1091
  • [39] Spatial risk adjustment between health insurances: using GWR in risk adjustment models to conserve incentives for service optimisation and reduce MAUP
    Danny Wende
    The European Journal of Health Economics, 2019, 20 : 1079 - 1091
  • [40] North-to-south transfer of grain and meat products significantly reduces PM2.5 pollution and associated health risk in China
    Wang, Jiaxin
    Huang, Tao
    Ling, Zaili
    Song, Shijie
    Xin, Jiayi
    Liu, Yao
    Chen, Kaijie
    Wei, Zijian
    Ren, Ji
    Zhao, Yuan
    Gao, Hong
    Ma, Jianmin
    RESOURCES ENVIRONMENT AND SUSTAINABILITY, 2024, 17
12345