The main objective of risk adjustment in systems of regulated competition on health insurance markets is the removal of incentives for undesirable risk selection. We introduce a simple conceptual framework to clarify how the definition of "acceptable costs" and the distinction between legitimate...

The current risk adjustment formula distorts the intended competition on good quality care among the sickness funds, and turns it into a competition on profitable members. After 18 years of using incorrect rates, the Israeli risk adjustment rates should be calculated, as is common in other...

Public opinion has become one of the primary inputs in setting priorities, rationing and allocating health resources. The present study focuses on the priorities of the Israeli public aged 45-75 in allocating scarce medical resources between prolonging survival (the 'Rule of Rescue') and...

Many Western nations are implementing (or considering) changes in their health care systems. An integral component of these changes (or debates) refers to the functioning and regulation of the supplementary health insurance market. However, only limited empirical evidence exists on the...

True health state is an unobservable concept. Researchers and practitioners now have access to a large variety of tools to measure the health state and health related quality of life by self-reports. Socio-demographic variation in these measures is usually interpreted as variation in health....

From the mid-1990s several countries have introduced elements of regulated competition in healthcare. The aim of this paper is to identify the most important preconditions for achieving efficiency and affordability under regulated competition in healthcare, and to indicate to what extent these...