High cost pool or high cost groups-How to handle high(est) cost cases in a risk adjustment mechanism?

Schillo, Sonja; Lux, Gerald; Wasem, Juergen; Buchner, Florian

Schillo, Sonja; Lux, Gerald; Wasem, Juergen; Buchner, Florian.

Afiliação

Schillo S; Institute for Health Care Management and Research, University Duisburg-Essen, Thea-Leymann-Str. 9, Essen D-45127, Germany; Health Economics Center CINCH, Essen, Germany. Electronic address: Sonja.Schillo@uni-due.de.
Lux G; Institute for Health Care Management and Research, University Duisburg-Essen, Thea-Leymann-Str. 9, Essen D-45127, Germany; Health Economics Center CINCH, Essen, Germany. Electronic address: Gerald.Lux@medman.uni-due.de.
Wasem J; Institute for Health Care Management and Research, University Duisburg-Essen, Thea-Leymann-Str. 9, Essen D-45127, Germany; Health Economics Center CINCH, Essen, Germany. Electronic address: Juergen.Wasem@medman.uni-due.de.
Buchner F; Department for Health Sciences and Social Work, University of Applied Sciences Carinthia, Hauptplatz A-9560, Feldkirchen i. K, Germany; Health Economics Center CINCH, Essen, Germany. Electronic address: F.Buchner@fh-kaernten.at.

Health Policy ; 120(2): 141-7, 2016 Feb.

Article em En | MEDLINE | ID: mdl-26806676

Assuntos

Competição Econômica; Seguro Saúde/economia; Programas Nacionais de Saúde/economia; Risco Ajustado/métodos; Europa (Continente); Humanos; Seleção Tendenciosa de Seguro

Palavras-chave

Germany; Health insurance; High cost cases; High cost pool; Risk adjustment

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Risco Ajustado / Competição Econômica / Seguro Saúde / Programas Nacionais de Saúde Tipo de estudo: Etiology_studies / Health_economic_evaluation / Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: Europa Idioma: En Ano de publicação: 2016 Tipo de documento: Article

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