Health-based risk adjustment: improving the pharmacy-based cost group model by adding diagnostic cost groups
Article Abstract:
Risk-adjustment premiums, pharmacy-based cost groups (PCGs) and diagnostic cost groups (DCGs) were added to the social health insurance sector in the Netherlands. The benefits of using these risk-sharing systems in predicting future costs, as well as the health care system and health insurance system in the Netherlands, are discussed.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2007
User Contributions:
Comment about this article or add new information about this topic:
Survival skills for the political environment of health insurance
Article Abstract:
A case study on the success of political lobbying efforts and market positioning of Blue Cross Blue Shield of Michigan, which fought against Michigan government's proposals to restructure the company, is presented.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2006
User Contributions:
Comment about this article or add new information about this topic:
The Wellmark and University of Iowa partnership: an innovative model for collaboration between Blue Cross-Blue Shield plans and colleges
Article Abstract:
The deal between Wellmark Blue Cross-Blue Shield of Iowa and University of Iowa to improve the health of Iowa and South Dakota communities is presented.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2006
User Contributions:
Comment about this article or add new information about this topic:
- Abstracts: Medicare's disproportionate share adjustment and the cost of low-income patients. Hospital ownership and cost and quality of care: is there a dime's worth of difference?
- Abstracts: Hospital staffing adjustments under global budgeting. Human resource departments and hospital labor strategies
- Abstracts: Much ado about two: reconsidering retransformation and the two-part model in health econometrics. Costs and outcomes associated with alternative discharge strategies following joint replacement surgery: analysis of an observational study using a propensity score
- Abstracts: Strategizing health care for an aging America. Toppling the power of the pyramid: team-based restructuring for TQM, patient-centered care
- Abstracts: Urine drug screening: understanding the process, understanding the limitations. Emerging ethical issues in pharmacogenomics: from research to clinical practice