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Optimal cost reimbursement of health insurers to reduce risk selection

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KIFMANN, Mathias, Normann LORENZ, 2005. Optimal cost reimbursement of health insurers to reduce risk selection

@techreport{Kifmann2005Optim-12233, series={Diskussionsbeiträge ("Grüne Reihe") / FB Wirtschaftswissenschaften}, title={Optimal cost reimbursement of health insurers to reduce risk selection}, year={2005}, number={329}, author={Kifmann, Mathias and Lorenz, Normann} }

<rdf:RDF xmlns:dcterms="" xmlns:dc="" xmlns:rdf="" xmlns:bibo="" xmlns:dspace="" xmlns:foaf="" xmlns:void="" xmlns:xsd="" > <rdf:Description rdf:about=""> <dcterms:title>Optimal cost reimbursement of health insurers to reduce risk selection</dcterms:title> <dc:contributor>Kifmann, Mathias</dc:contributor> <dc:format>application/pdf</dc:format> <dc:rights>terms-of-use</dc:rights> <foaf:homepage rdf:resource="http://localhost:8080/jspui"/> <dc:creator>Lorenz, Normann</dc:creator> <dc:date rdf:datatype="">2011-03-25T09:43:39Z</dc:date> <dcterms:abstract xml:lang="eng">In the absence of a perfect risk adjustment scheme, reimbursing health insurers' costs can reduce risk selection in community-rated health insurance markets. In this paper, we develop a model in which insurers determine the cost efficiency of health care and have incentives for risk selection. We derive the optimal cost reimbursement function which balances the incentives for cost efficiency and risk selection. For health cost data from a Swiss health insurer, we find that an optimal cost reimbursement scheme should reimburse costs only up to a limit.</dcterms:abstract> <dc:contributor>Lorenz, Normann</dc:contributor> <dcterms:rights rdf:resource=""/> <dcterms:isPartOf rdf:resource=""/> <dcterms:issued>2005</dcterms:issued> <dcterms:hasPart rdf:resource=""/> <dc:creator>Kifmann, Mathias</dc:creator> <dc:language>eng</dc:language> <void:sparqlEndpoint rdf:resource="http://localhost/fuseki/dspace/sparql"/> <dcterms:available rdf:datatype="">2011-03-25T09:43:39Z</dcterms:available> <bibo:uri rdf:resource=""/> <dspace:isPartOfCollection rdf:resource=""/> <dspace:hasBitstream rdf:resource=""/> </rdf:Description> </rdf:RDF>

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