Optimal risk adjustment with adverse selection and spatial competition

Journal of Health Economics

Volumn 25, Issue 5, 2006, Pages 908-926

  Jack, William ^a  

^a GEORGETOWN UNIVERSITY   (United States)

Author keywords

Adverse selection; Risk adjustment; Spatial competition

Indexed keywords

COMPETITION (ECONOMICS); COST; HEALTH INSURANCE; HEALTH POLICY; HEALTH RISK; HETEROGENEITY;

ARTICLE; COMPETITION; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE MANAGEMENT; HEALTH INSURANCE; MANAGED CARE; MARKET; MODEL; PROSPECTIVE PAYMENT; RISK ASSESSMENT;

ECONOMIC COMPETITION; HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; MODELS, STATISTICAL; RISK ADJUSTMENT; UNITED STATES;

EID: 33747151934     PISSN: 01676296     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jhealeco.2006.01.005     Document Type: Article

References (15)

1. Biglaiser G., and Ma C.-t.A. Price and quality competition under adverse selection: market organization and efficiency. RAND Journal of Economics 34 2 (2003) 266-286
2. Eggleston K. Risk selection and optimal health insurance-provider payment systems. Journal of Risk and Insurance 67 (2000) 175-198
3. Frank R., Glazer J., and McGuire T. Measuring adverse selection in managed health care. Journal of Health Economics 19 (2000) 829-854
4. Glazer J., and McGuire T. Optimal risk adjustment of health insurance premiums: an application to managed care. American Economic Review 90 4 (2000) 1055-1071
5. Glazer J., and McGuire T. Setting health plan premiums to ensure efficient quality in health care: minimum variance optimal risk adjustment. Journal of Public Economics 84 2 (2002) 153-175
6. Jack W. Controlling risk selection incentives when health insurance contracts are endogenous. Journal of Public Economics 80 (2001) 25-48
7. Ma C.-t.A. Managed care and shadow price. Health Economics Letters 7 3 (2003) 17-20
8. Murgolo M. MCBS highlights: comparison of Medicare Risk HMO and FFS enrollees. Health Care Financing Review 24 1 (2002) 177-185
9. Newhouse J. Reimbursing health plans and health providers: efficiency in production versus selection. Journal of Economic Literature 34 (1996) 1236-1263
10. Newhouse J. Pricing the Priceless: A Health Care Conundrum (2002), MIT Press, Cambridge MA
11. Olivella, P., Vera-Hernández, M., 2005. Competition among differentiated health plans under adverse selection, unpublished manuscript.
12. Rothschild M., and Stiglitz J. Equilibrium in competitive insurance markets: an essay on the economics of imperfect information. Quarterly Journal of Economics 90 (1976) 629-649
13. Salop S. Monopolistic competition with outside goods. Bell Journal of Economics 10 (1979) 141-156
14. Shen Y., and Ellis R.P. Cost minimizing risk adjustment. Journal of Health Economics 21 3 (2002) 515-530
15. Van de Ven W., and Ellis R. Risk adjustment in competitive health plan markets. In: Culyer A.J., and Newhouse J.P. (Eds). Handbook of Health Economics (2000), North-Holland