Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets (ePub)

Name: Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets
Brand: Elsevier Science & Techn.
SKU: 96316369
Price: 109.00 EUR
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Theory and Practice (Sprache: Englisch)

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Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems.

Part I contains 5 chapters discussing the role of health plan payment...

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Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems.

Part I contains 5 chapters discussing the role of health plan payment in regulated health insurance markets, key aspects of payment design (i.e. risk adjustment, risk sharing and premium regulation), and evaluation methods using administrative data on medical spending.

Part II contains 14 chapters describing the health plan payment system in 14 countries and sectors around the world, including Australia, Belgium, Chile, China, Columbia, Germany, Ireland, Israel, the Netherlands, Russia, Switzerland and the United States. Authors discuss the evolution of these payment schemes, along with ongoing reforms and key lessons on the design of health plan payment.

Provides a conceptual toolkit that describes the goals, design and evaluation of health plan payment systems in the context of policy paradigms, such as efficiency, affordability, fairness and avoidance of risk selection
Brings together international experience from many different countries that apply regulated competition in different ways
Delivers a practical toolkit for the evaluation of health plan payment modalities from the standpoint of efficiency and fairness

Autoren-Porträt

Thomas McGuire is a Professor of Health Economics in the Department of Health Care Policy at Harvard Medical School and a Research Associate at the National Bureau of Economic Research. His research focuses on the design and impact of health care payment systems, the economics of health care disparities, and the economics of mental health policy and drug regulation and payment. McGuire has contributed to the theory of physician, hospital, and health plan payment. McGuire was a co-editor of the Handbook of Health Economics Volume 2 (2012) and recently completed ten years as an editor of the Journal of Health Economics.

Richard van Kleef works as an Associate Professor at the Erasmus School of Health Policy and Management of the Erasmus University Rotterdam. His research and teaching focus on economic aspects of health insurance and health care markets. Specific areas of expertise are health plan payment and consumer cost sharing. Van Kleef has published his research in national and international journals including the Journal of Health Economics, The European Journal of Health Economics, Medical Care, Health Affairs and Health Policy. Richard is currently chairman of the Dutch/Flemish Health Economics Association and a member of the Risk Adjustment Network (RAN).

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Bibliographische Angaben

2018, 648 Seiten, Englisch
Herausgegeben: Thomas G. McGuire, Richard C. van Kleef
Verlag: Elsevier Science & Techn.
ISBN-10: 012811326X
ISBN-13: 9780128113264
Erscheinungsdatum: 06.08.2018

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Dateiformat: ePub
Größe: 15 MB
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