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.

Netherlands, Government domestic functions, Management dynamics, Management, Usage, Economic aspects, Company business management, Regression analysis, Risk (Insurance), Health policy, Report

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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.

Marketing procedures, Public affairs, Lobbying, Case studies, Marketing, Political activity, Company marketing practices, Blue Cross and Blue Shield of Michigan Inc., Market positioning

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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.

Alliances, partnerships, Analysis, Community development, Alliances and partnerships, University of Iowa, Wellmark Blue Cross and Blue Shield of Iowa

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