메뉴 건너뛰기




Volumn 39, Issue 4 II, 2004, Pages 1167-1188

Risk segmentation related to the offering of a consumer-directed health plan: A case study of Humana Inc.

Author keywords

Consumer directed health plans; Cost sharing; Risk segmentation; Risk selection

Indexed keywords

ADULT; CONFERENCE PAPER; CONSUMER; DEMOGRAPHY; EMPLOYEE; EMPLOYER; FEMALE; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH INSURANCE; HEALTH MAINTENANCE ORGANIZATION; HEALTH PROGRAM; HOSPITAL ADMISSION; HUMAN; MAJOR CLINICAL STUDY; MALE; PHARMACY; PRACTICE GUIDELINE; RISK BENEFIT ANALYSIS; UNITED STATES;

EID: 3142732028     PISSN: 00179124     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2004.00281.x     Document Type: Conference Paper
Times cited : (48)

References (21)
  • 1
    • 28144431859 scopus 로고    scopus 로고
    • As health care costs rise, workers shoulder burden: Labor fights flare as premiums soar
    • October 21
    • Armour, S., and J. Appleby. 2003. "As Health Care Costs Rise, Workers Shoulder Burden: Labor Fights Flare as Premiums Soar." USA Today, October 21, p. A01.
    • (2003) USA Today
    • Armour, S.1    Appleby, J.2
  • 3
    • 0023939418 scopus 로고
    • Managed competition of alternative delivery systems
    • Enthoven, A. 1988. "Managed Competition of Alternative Delivery Systems." Journal of Health Politics, Policy, and Law 13 (2): 305-22.
    • (1988) Journal of Health Politics, Policy, and Law , vol.13 , Issue.2 , pp. 305-322
    • Enthoven, A.1
  • 4
    • 0027414310 scopus 로고
    • The history and principles of managed competition
    • -. 1993. "The History and Principles of Managed Competition." Health Affairs 12 (supplement): 24-48.
    • (1993) Health Affairs , vol.12 , Issue.SUPPL. , pp. 24-48
  • 5
    • 3142740625 scopus 로고    scopus 로고
    • Employment-Based health insurance is failing: Now what?
    • Web exclusive
    • -. 2003. "Employment-Based Health Insurance Is Failing: Now What?" Health Affairs Web exclusive. Available at http://content. healthaffairs.org/cgi/reprint/hlthaff.w3.237vl.pdf.
    • (2003) Health Affairs
  • 6
    • 0024503430 scopus 로고    scopus 로고
    • A consumer choice health plan for the 1990s: Universal health insurance in a system designed to promote quality and economy
    • Enthoven, A., and R. Kronick. 1989. "A Consumer Choice Health Plan for the 1990s: Universal Health Insurance in a System Designed to Promote Quality and Economy." New England Journal of Medicine 320 (1): 29-37 and 320 (2): 94-101.
    • (1989) New England Journal of Medicine , vol.320 , Issue.1 , pp. 29-37
    • Enthoven, A.1    Kronick, R.2
  • 7
    • 0024503430 scopus 로고    scopus 로고
    • Enthoven, A., and R. Kronick. 1989. "A Consumer Choice Health Plan for the 1990s: Universal Health Insurance in a System Designed to Promote Quality and Economy." New England Journal of Medicine 320 (1): 29-37 and 320 (2): 94-101.
    • New England Journal of Medicine , vol.320 , Issue.2 , pp. 94-101
  • 10
    • 77949303178 scopus 로고    scopus 로고
    • Consumer-Driven health plans: Are they more than talk now?
    • Web exclusive
    • Gabel, J., T. Lo Sasso, and T. Rice. 2002. "Consumer-Driven Health Plans: Are They More Than Talk Now?" Health Affairs, Web exclusive. Available at http://www.healthaffairs.org/WebExclusives/2201Gabel.pdf.
    • (2002) Health Affairs
    • Gabel, J.1    Lo Sasso, T.2    Rice, T.3
  • 11
    • 0035513625 scopus 로고    scopus 로고
    • The medicaid Rx model: Pharmacy-Based risk adjustment for public programs
    • Gilmer, T., R. Kronick, P. Fishman, and T. Ganiats. 2001. "The Medicaid Rx Model: Pharmacy-Based Risk Adjustment for Public Programs." Medical Care 39 (11): 1188-202.
    • (2001) Medical Care , vol.39 , Issue.11 , pp. 1188-1202
    • Gilmer, T.1    Kronick, R.2    Fishman, P.3    Ganiats, T.4
  • 14
    • 0029941140 scopus 로고    scopus 로고
    • Diagnostic risk adjustment for medicaid: The disability payment system
    • Kronick, R., T. Dreyfus, L. Lee, and Z. Zhou. 1996. "Diagnostic Risk Adjustment for Medicaid: The Disability Payment System." Health Care Financing Review 16 (3): 7-33.
    • (1996) Health Care Financing Review , vol.16 , Issue.3 , pp. 7-33
    • Kronick, R.1    Dreyfus, T.2    Lee, L.3    Zhou, Z.4
  • 17
    • 3142767259 scopus 로고    scopus 로고
    • Press release, December 8
    • Mercer Human Resource Consulting. 2003. "Surprise Slow-Down in US Health Benefit Cost Increase" [accessed on February 23, 2004]. Press release, December 8. Available at http://www.mercerhr.com/pressrelease/details. jhtml/dynamic/idContent/1121535.
    • (2003) Surprise Slow-Down in US Health Benefit Cost Increase
  • 18
    • 3142727013 scopus 로고    scopus 로고
    • Employee choice of consumer-driven health insurance in a multiplan, multiproduct setting
    • Parente, S., R. Feldman, and J. Christianson. 2004. "Employee Choice of Consumer-Driven Health Insurance in a MultiPlan, MultiProduct Setting." Health Services Research 39(4, part 2): 1091-112.
    • (2004) Health Services Research , vol.39 , Issue.4 PART 2 , pp. 1091-1112
    • Parente, S.1    Feldman, R.2    Christianson, J.3
  • 20
    • 0031659356 scopus 로고    scopus 로고
    • Physician profiling using outpatient pharmacy data as a source for case mix measurement and risk adjustment
    • Roblin, D. 1998. "Physician Profiling Using Outpatient Pharmacy Data as a Source for Case Mix Measurement and Risk Adjustment." Journal of Ambulatory Care Management 21 (4): 68-84.
    • (1998) Journal of Ambulatory Care Management , vol.21 , Issue.4 , pp. 68-84
    • Roblin, D.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.