메뉴 건너뛰기




Volumn 109, Issue 3, 2013, Pages 253-262

The new risk adjustment formula in Germany: Implementation and first experiences

Author keywords

Central health fund; Competition; Germany; Health insurance; Risk adjustment

Indexed keywords

ACCURACY; ARTICLE; CHRONIC DISEASE; COMPETITION; DISEASE SEVERITY; EXPERIENCE; FINANCIAL MANAGEMENT; GERMANY; HEALTH CARE PLANNING; HUMAN; MORBIDITY; PERFORMANCE; PRESCRIPTION; RISK ASSESSMENT; SOCIAL INSURANCE; VALIDITY;

EID: 84874341113     PISSN: 01688510     EISSN: 18726054     Source Type: Journal    
DOI: 10.1016/j.healthpol.2012.12.001     Document Type: Article
Times cited : (54)

References (24)
  • 2
    • 25444525682 scopus 로고    scopus 로고
    • Reforming Germany's risk structure equalization scheme - taking stock at the halfway point
    • Göpffarth D. Reforming Germany's risk structure equalization scheme - taking stock at the halfway point. Journal of Public Health 2005, 13(5):248-256.
    • (2005) Journal of Public Health , vol.13 , Issue.5 , pp. 248-256
    • Göpffarth, D.1
  • 3
    • 84874291728 scopus 로고    scopus 로고
    • The German central health fund - recent developments in health care financing in Germany
    • Göpffarth D., Henke K.-D. The German central health fund - recent developments in health care financing in Germany. Health Policy 2013, 109(3):246-252.
    • (2013) Health Policy , vol.109 , Issue.3 , pp. 246-252
    • Göpffarth, D.1    Henke, K.-D.2
  • 4
    • 77449147691 scopus 로고    scopus 로고
    • Access and choice - competition under the roof of solidarity in German health care: an analysis of health policy reforms since 2004
    • Lisac M., Reimers L., Henke K.-D., Schlette S. Access and choice - competition under the roof of solidarity in German health care: an analysis of health policy reforms since 2004. Health Economics, Policy and Law 2010, 5:31-52.
    • (2010) Health Economics, Policy and Law , vol.5 , pp. 31-52
    • Lisac, M.1    Reimers, L.2    Henke, K.-D.3    Schlette, S.4
  • 5
    • 84874337176 scopus 로고    scopus 로고
    • Germany: health system review. Health Systems in Transition, forthcoming.
    • Busse R, Blümel M, Ognyanova D. Germany: health system review. Health Systems in Transition, forthcoming.
    • Busse, R.1    Blümel, M.2    Ognyanova, D.3
  • 6
    • 0038798616 scopus 로고    scopus 로고
    • Needs for further improvement: risk adjustment in the German health insurance system
    • Buchner F., Wasem J. Needs for further improvement: risk adjustment in the German health insurance system. Health Policy 2003, 77(1):21-35.
    • (2003) Health Policy , vol.77 , Issue.1 , pp. 21-35
    • Buchner, F.1    Wasem, J.2
  • 7
    • 25444504625 scopus 로고    scopus 로고
    • Risk selection in the German public health insurance system
    • Knaus T., Nuscheler R. Risk selection in the German public health insurance system. Health Economics 2005, 14(12):1253-1271.
    • (2005) Health Economics , vol.14 , Issue.12 , pp. 1253-1271
    • Knaus, T.1    Nuscheler, R.2
  • 9
    • 84874302802 scopus 로고    scopus 로고
    • Instrumente der Risikoselektion - Theorie und Empirie, in Jahrbuch Risikostrukturausgleich 2006
    • Asgard-Verlag Dr. Werner Hippe GmbH, Sankt Augustin, D. Göpffarth, S. Gress, K. Jacobs, J. Wasem (Eds.)
    • Höppner K., Gress S., Rothgang H., Wasem J. Instrumente der Risikoselektion - Theorie und Empirie, in Jahrbuch Risikostrukturausgleich 2006. 10 Jahre Kassenwahlfreiheit 2006, 119-144. Asgard-Verlag Dr. Werner Hippe GmbH, Sankt Augustin. D. Göpffarth, S. Gress, K. Jacobs, J. Wasem (Eds.).
    • (2006) 10 Jahre Kassenwahlfreiheit , pp. 119-144
    • Höppner, K.1    Gress, S.2    Rothgang, H.3    Wasem, J.4
  • 10
    • 78649402959 scopus 로고    scopus 로고
    • Von der Risiko- zur Anbieterselektion. Eigendynamiken wettbewerblicher Reformen in Gesundheitssystemen des Sozialversicherungstyps
    • Götze R., Cacace M., Rothgang H. Von der Risiko- zur Anbieterselektion. Eigendynamiken wettbewerblicher Reformen in Gesundheitssystemen des Sozialversicherungstyps. Zeitschrift für Sozialreform 2009, 55(2):149-175.
    • (2009) Zeitschrift für Sozialreform , vol.55 , Issue.2 , pp. 149-175
    • Götze, R.1    Cacace, M.2    Rothgang, H.3
  • 11
    • 2442480647 scopus 로고    scopus 로고
    • Disease management programs in Germany's statutory health insurance system
    • Busse R. Disease management programs in Germany's statutory health insurance system. Health Affairs 2003, 23:56-67.
    • (2003) Health Affairs , vol.23 , pp. 56-67
    • Busse, R.1
  • 12
    • 77956769711 scopus 로고    scopus 로고
    • Risk adjustment in competitive health plan markets
    • Elsevier, Amsterdam, A.J. Culyer, J.P. Newhouse (Eds.)
    • van de Ven W.P.M.M., Ellis R.P. Risk adjustment in competitive health plan markets. Handbook of health economics 2000, 755-845. Elsevier, Amsterdam. A.J. Culyer, J.P. Newhouse (Eds.).
    • (2000) Handbook of health economics , pp. 755-845
    • van de Ven, W.P.M.M.1    Ellis, R.P.2
  • 13
    • 84874287694 scopus 로고    scopus 로고
    • Wissenschaftliches Gutachen für die Auswahl von 50 bis 80 Erkrankungen zur Berücksichtigung im morbiditätsorientierten Risikostrukturausgleich. Bonn
    • Busse R, Drösler S, Glaeske G, Greiner W, Schäfer T, Schrappe M. Wissenschaftliches Gutachen für die Auswahl von 50 bis 80 Erkrankungen zur Berücksichtigung im morbiditätsorientierten Risikostrukturausgleich. Bonn; 2007.
    • (2007)
    • Busse, R.1    Drösler, S.2    Glaeske, G.3    Greiner, W.4    Schäfer, T.5    Schrappe, M.6
  • 17
    • 84874300406 scopus 로고    scopus 로고
    • Evaluationsbericht zum Jahresbericht 2009 im Risikostrukturausgleich
    • Drösler S, Hasford J, Kurth B-M, Schaefer M, Wasem J, Wille E. Evaluationsbericht zum Jahresbericht 2009 im Risikostrukturausgleich; 2011. http://www.bmg.bund.de/morbi-rsa.
    • (2011)
    • Drösler, S.1    Hasford J.Kurth, B-M.2    Schaefer, M.3    Wasem, J.4    Wille, E.5
  • 19
    • 0001004715 scopus 로고
    • Predictability of individual health care expenditures
    • Van Vliet R.C.J.A. Predictability of individual health care expenditures. Journal of Risk and Insurance 1992, 59:443-461.
    • (1992) Journal of Risk and Insurance , vol.59 , pp. 443-461
    • Van Vliet, R.C.J.A.1
  • 20
    • 0005709092 scopus 로고    scopus 로고
    • A comparative analysis of claims-based methods of health risk assessment for commercial populations
    • Cummings RB, Knutson D, Cameron BA, Derrick B. A comparative analysis of claims-based methods of health risk assessment for commercial populations; 2002. http://www.symmetry-health.com/SOAStudy.pdf.
    • (2002)
    • Cummings, R.B.1    Knutson, D.2    Cameron, B.A.3    Derrick, B.4
  • 21
    • 44649098521 scopus 로고    scopus 로고
    • Gesundheitsfonds und Preiswettbewerb
    • Gesundheitsfonds, Asgard Verlag, Sankt Augustin, D. Göpffarth, S. Gress, K. Jacobs, J. Wasem (Eds.)
    • Felder S. Gesundheitsfonds und Preiswettbewerb. Jahrbuch Risikostrukturausgleich 2007 2007, 215-230. Gesundheitsfonds, Asgard Verlag, Sankt Augustin. D. Göpffarth, S. Gress, K. Jacobs, J. Wasem (Eds.).
    • (2007) Jahrbuch Risikostrukturausgleich 2007 , pp. 215-230
    • Felder, S.1
  • 23
    • 84874311717 scopus 로고    scopus 로고
    • Bundesversicherungsamt. Erläuterungen zur Festlegung von Morbiditätsgruppen, Zuordnungsalgorithmus, Regressionsverfahren und Berechnungsverfahren durch das Bundesversicherungsamt
    • Bundesversicherungsamt. Erläuterungen zur Festlegung von Morbiditätsgruppen, Zuordnungsalgorithmus, Regressionsverfahren und Berechnungsverfahren durch das Bundesversicherungsamt; 2008.
    • (2008)


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.