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Optimal Risk Adjustment: The Trade-off between Risk Selection and Upcoding

Nuscheler, Robert; Vaclahovsky, Simon - 2023

Persistent link: https://www.econbiz.de/10014363749

Mehr Staat im Gesundheitswesen? Acht Thesen zu einer zur Unzeit aufkeimenden Systemdebatte

Pimpertz, Jochen - 2020

robust. While the infection rate in Germany is so far slightly lower than in other large European economies, the relatively … increased - potentially favoured by a mix of private and public hospital operators in Germany. Bottlenecks are more likely to be … caused by the staffing of hospitals, where Germany does not compare favourably with other countries. Fortunately, up to now …

Persistent link: https://www.econbiz.de/10012227068

Performance-based managed entry agreements for new medicines in OECD countries and EU member states : how they work and possible improvements going forward

Wenzl, Martin; Chapman, Suzannah - 2019

This paper presents findings of an OECD review of managed entry agreements in OECD countries and EU member states conducted in 2018 and 2019. Findings are based on discussions with the OECD Expert Group on Pharmaceuticals and Medical Devices, responses by experts from 12 OECD countries to a...

Persistent link: https://www.econbiz.de/10012136145

Optimal contracting with altruistic agents : a structural model of Medicare payments for dialysis drugs

Gaynor, Martin; Mehta, Nirav; Richards-Shubik, Seth - 2020

We study physician agency and optimal payment policy in the context of an expensive medication used in dialysis care. Using Medicare claims data we estimate a structural model of treatment decisions, in which physicians differ in their altruism and marginal costs, and this heterogeneity is...

Persistent link: https://www.econbiz.de/10012216358

Patient vs. provider incentives in long-term care

Hackmann, Martin B.; Pohl, R. Vincent - 2018

How do patient and provider incentives affect mode and cost of long-term care? Our analysis of 1 million nursing home stays yields three main insights. First, Medicaid-covered residents prolong their stays instead of transitioning to community-based care due to limited cost-sharing. Second,...

Persistent link: https://www.econbiz.de/10011936271

Belgium : enhancing the cost efficiency and flexibility of the health sector to adjust to population ageing

Sorbe, Stéphane - 2013

Belgium has a good record in delivering accessible care, but adaptation to population ageing will be complicated by the fragmentation of responsibilities in the healthcare system and a strong reliance on government regulations. The organisation of the system could be rationalised by giving...

Persistent link: https://www.econbiz.de/10009769694

Health care reform and long-term care in the Netherlands

Schut, Frederik T.; Sorbe, Stéphane; Høj, Jens - 2013

The Netherlands, as other OECD countries, faces the challenge of providing high quality health and long-term care services to an ageing population in a cost-efficient manner. In the health care sector, reforms have aimed at introducing more competition. Despite major changes and some positive...

Persistent link: https://www.econbiz.de/10009696082

Can risk adjustment prevent risk selection in a competitive long-term care insurance market?

Bakx, Piet; Schut, Erik; Van Doorslaer, Eddy - 2013

Persistent link: https://www.econbiz.de/10009724827

(Most) Everyone is Above Average : Optimism Bias and Insurance Nonparticipation

Dicks, David L.; Garven, James R.; Hilliard, James I. - 2023

We explore demand for insurance in a setting where nonparticipation has been com-mon: health insurance. We present a stylized model of insurance demand in which consumers make optimistically-biased assessments about future health outcomes. The standard model would predict participation unless...

Persistent link: https://www.econbiz.de/10014355828

Patient Versus Provider Incentives in Long-Term Care

Hackmann, Martin B.; Pohl, Vincent; Ziebarth, Nicolas R. - 2023

How do patient and provider incentives affect the provision of long-term care? Our analysis of 551 thousand nursing home stays yields three main insights. First, Medicaid-covered residents prolong their stays instead of transitioning to community-based care due to limited cost-sharing. Second,...

Persistent link: https://www.econbiz.de/10014356350