Risk adjustment: where are we now?

Article Abstract:

Risk adjustment is essential in minimizing the selection of patients, or enrollees in health plans. Selection has become an important issue in the new world of competing, at-risk health plans and disappearing indemnity plans. Limiting services, to an extent that consumers are not informed, may also be an issue in the new world. Partial capitation may solve these problems, since it decreases financial incentives to select and provides some benefits for offering additional services.

Author: Newhouse, Joseph P.
Publisher: Blue Cross and Blue Shield of the Rochester Area, Inc.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 1998
Analysis, Risk (Insurance)

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Telephone service interruption weighting adjustments for state health insurance surveys

Article Abstract:

Many states rely on telephone surveys to produce estimates of uninsurance. However such surveys are not accurate as the surveys fail to cover health insurance information from households that do not have telephone facilities.

Author: Johnson, Tracy L., Call, Kathleen Thiede, Davern, Michael, Blewett, Lynn A., Lepkowski, James, Noreen, Arnold, Goldsteen, Karen, Todd-Malmlov, April
Publisher: Blue Cross and Blue Shield of the Rochester Area, Inc.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2004
General services, Company systems management, Information management, Telephone surveys

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Selection and plan switching behavior

Article Abstract:

The impact of volatility in health insurance plan choice on insurance premium rates is examined.

Author: Newhouse, Joseph P., Normand, Sharon-Lise T., Tchernis, Rusty, Pakes, Juliana, Gaccione, Peter
Publisher: Blue Cross and Blue Shield of the Rochester Area, Inc.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2006
Forecasts, trends, outlooks, Commodity & service prices, Prices and rates, Forecasts and trends, Market trend/market analysis, Consumer preferences, Managed care plans (Medical care), Company pricing policy

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Subjects list: Health insurance, United States, Usage
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