Measuring selection incentives in managed care: Evidence from the Massachusetts State Employee Insurance Program

Journal of Risk and Insurance

Volumn 76, Issue 1, 2009, Pages 159-175

  Eggleston, Karen ^a   Bir, Anupa ^b  

^a STANFORD UNIVERSITY   (United States)

^b RTI INTERNATIONAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 60049087094     PISSN: 00224367     EISSN: 15396975     Source Type: Journal    
DOI: 10.1111/j.1539-6975.2009.01292.x     Document Type: Article

References (38)

1. Altman, D., D. M. Cutler, and R. J. Zeckhauser, 1998, Adverse Selection and Adverse Retention, American Economic Review, 88 (2 122 126.
2. Altman, D., D. M. Cutler, and R. J. Zeckhauser, 2003, Enrollee Mix, Treatment Intensity, and Cost in Competing Indemnity and HMO Plans, Journal of Health Economics, 22 (1 23 45.
3. Beaulieu, N. D., D. M. Cutler, and K. E. Ho, 2005, The Business Case for Diabetes Disease Management at Two Managed Care Organizations, Mimeo : Harvard Business School.
4. Cao, Z., and T. G. McGuire, 2003, Service-Level Selection by HMOs in Medicare, Journal of Health Economics, 22 (6 915 931.
5. Chalkley, M., and J. M. Malcomson, 1998, Contracting for Health Services When Patient Demand Does Not Reflect Quality, Journal of Health Economics, 17 (1 1 19.
6. Cutler, D. M., and R. J. Zeckhauser, 1998, Adverse Selection in Health Insurance, in : A. Garber, ed., Frontiers in Health Policy Research, Volume 1 (Cambridge, MA : MIT Press pp. 1 31.
7. Cutler, D. M., and R. J. Zeckhauser, 2000, The Anatomy of Health Insurance, in : A. J. Culyer and J. P. Newhouse, eds., Handbook of Health Economics, Volume 1A (Amsterdam : North-Holland pp. 563 643.
8. Eggleston, K., 2000, Risk Selection and Optimal Health Insurance-Provider Payment, Journal of Risk and Insurance, 67 (2 173 196.
9. Eggleston, K. E., and A. Bir, 2005, Measuring Selection Incentives in Managed Care: Evidence from the Massachusetts State Employee Insurance Program, Tufts University Economics Department Working Paper, available at http://ase.tufts.edu/econ/papers/papers.html.
10. Eggleston, K., and W. Yip, 2004, Hospital Competition Under Regulated Prices: Application to Urban Health Sector Reforms in China, International Journal of Health Care Finance and Economics, 4 (4 343 368.
11. Ellis, R., 1998, Creaming, Skimping and Dumping: Provider Competition on the Intensive and Extensive Margins, Journal of Health Economics, 17 : 537 555.
12. Ellis, R., and T. G. McGuire, 1990, Optimal Payment Systems for Health Services, Journal of Health Economics, 9 : 375 396.
13. Ellis, R., and T. G. McGuire, 2004, Predictability and Predictiveness in Health care Spending, Working Paper, March 22.
14. Feldman, R., and B. Dowd, 2000, Risk Segmentation: Goal or Problem? Journal of Health Economics, 19 : 499 512.
15. Frank, R. G., J. Glazer, and T. G. McGuire, 2000, Measuring Adverse Selection in Managed Health Care, Journal of Health Economics, 19 : 829 854.
16. Glazer, J., and T. G. McGuire, 2001, Private Employers Don't Need Formal Risk Adjustment, Inquiry, 38 : 260 269.
17. Glazer, J., and T. G. McGuire, 2002a, Setting Plan Premiums to Ensure Efficient Quality in Health Care: Minimum Variance Optimal Risk Adjustment, Journal of Public Economics, 84 : 153 173.
18. Glazer, J., and T. G. McGuire, 2002b, Multiple Payers, Commonality and Free-Riding: Medicare and Private Payers, Journal of Health Economics, 21 : 1049 1069.
19. Glied, S., and J. G. Zivin, 2002, How Do Doctors Behave When Some (but Not All) of Their Patients Are in Managed Care? Journal of Health Economics, 21 : 337 353.
20. Keeler, E. B., G. Carter, and J. P. Newhouse, 1998, A Model of the Impact of Reimbursement Schemes on Health Plan Choice, Journal of Health Economics, 17 : 297 320.
21. Ma, C. A., 1994, Health Care Payment Systems: Cost and Quality Incentives, Journal of Economics & Management Strategy, 3 (1 93 112.
22. Ma, C. A., 2004, Managed Care and Shadow Price, Health Economics, 13 (2 199 202.
23. Ma, C. A., and T. G. McGuire, 1997, Optimal Health Insurance and Provider Payment, American Economic Review, 87 : 685 704.
24. Ma, C. A., and T. G. McGuire, 1998, Cost and Incentives in a Behavioral Health Carve-Out, Health Affairs, 17 (2 54 69.
25. Manning, W. G., 1998, The Logged Dependent Variable, Heteroskedasticity and the Retransformation Problem, Journal of Health Economics, 17 (3 283 296.
26. McClellan, M., 1997, Hospital Reimbursement Incentives: An Empirical Analysis, Journal of Economics and Management Strategy, 6 : 91 128.
27. McGuire, T. G., 2000, Physician Agency, in : A. J. Culyer and J. P. Newhouse, eds., Handbook of Health Economics, Volume 1A (Amsterdam : North-Holland pp. 461 536.
28. Miller, R. H., and H. S. Luft, 1997, Does Managed Care Lead to Better or Worse Quality of Care? Health Affairs, 16 (5 7 25.
29. Mullahy, J., 1998, Much Ado About Two: Reconsidering Retransformation and the Two Part Model in Health Econometrics, Journal of Health Economics, 17 (3 247 282.
30. Newhouse, J. P., 1996, Reimbursing Health Plans and Health Providers: Selection Versus Efficiency in Production, Journal of Economic Literature, 34 : 1236 1263.
31. Newhouse, J. P., 2002, Pricing the Priceless: A Health Care Conundrum (Cambridge, MA : MIT Press).
32. Nichols, A. L., and R. J. Zeckhauser, 1982, Targeting Transfers Through Restrictions on Recipients, American Economic Review, 72 (2 372 377.
33. Pauly, M. V., 2000, Insurance reimbursement, in : A. J. Culyer, and J. P. Newhouse, eds., Handbook of Health Economics, Volume 1A (Amsterdam : North-Holland pp. 537 560.
34. Pope, G. C., R. P. Ellis, A. S. Ash, C. F. Liu, J. Z. Ayanian, D. W. Bates, H. Burstin, L. I. Iezzoni, and M. J. Ingber, 2000, Principal Inpatient Diagnostic Cost Group Models for Medicare Risk Adjustment, Health Care Financing Review, 21 (3 93 118.
35. Shen, Y., and R. P. Ellis, 2002, How Profitable Is Risk Selection? A Comparison of Four Risk Adjustment Models, Health Economics, 11 (2 165 174.
36. van Barneveld, E. M., L. M. Lamers, R. C. J. A. van Vliet, and W. P. M. M. van de Ven, 2001, Risk Sharing as a Supplement to Imperfect Capitation: A Tradeoff Between Selection and Efficiency, Journal of Health Economics, 20 : 147 168.
37. van de Ven, W. P. M. M., and R. P. Ellis, 2000, Risk Adjustment in Competitive Health Plan Markets, in : A. J. Culyer and J. P. Newhouse, eds., Handbook of Health Economics, Volume 1A (Amsterdam : North-Holland pp. 755 845.
38. Yu, W, R. P. Ellis, and A. Ash, 2001, Risk Selection in the Massachusetts State Employee Health Insurance Program, Health Care Management Science, 4 : 281 287.