Improving diagnosis-based cost groups in the Dutch risk equalization model: the effects of a new clustering method and allowing for multimorbidity
Abstract Health insurance markets with community-rated premiums typically use risk equalization (RE) to compensate insurers for predictable profits on people in good health and predictable losses on those with a chronic disease. Over the past decades RE models have evolved from simple demographic models to sophisticated health-based models. Despite the improvements, however, non-trivial predictable profits and losses remain. This study examines to what extent the Dutch RE model can be further improved by redesigning one key morbidity adjuster: the Diagnosis-based Cost Groups (DCGs). This redes... Mehr ...
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Dokumenttyp: | Artikel |
Erscheinungsdatum: | 2023 |
Reihe/Periodikum: | International Journal of Health Economics and Management ; volume 23, issue 2, page 303-324 ; ISSN 2199-9023 2199-9031 |
Verlag/Hrsg.: |
Springer Science and Business Media LLC
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Schlagwörter: | Health Policy / Economics / Econometrics and Finance (miscellaneous) |
Sprache: | Englisch |
Permalink: | https://search.fid-benelux.de/Record/base-26678552 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | http://dx.doi.org/10.1007/s10754-023-09345-0 |