Abstract:
:Setting risk-adjusted capitation rates in health systems with centralized financing and decentralized delivery is one of the most intriguing policy issues. The common practice to set capitation group rates is based on individual data collected from either population surveys or medical records, using a single-and in most cases arbitrary-set of relative unit costs of services. This paper presents a method for estimating group-specific mean costs and capitation rates using a panel of aggregate cost data of the competing health plans and the composition of their populations. This method is used to estimate mean costs and capitation rates for the Israeli health care system. The limited data available severely constrains the range of estimable models, however, the results evoke some questions with regards to reimbursement and rates presently used, as well as to the methodology used to estimate them.
journal_name
Health Econjournal_title
Health economicsauthors
Shmueli Adoi
10.1002/(sici)1099-1050(199909)8:6<547::aid-hec463keywords:
subject
Has Abstractpub_date
1999-09-01 00:00:00pages
547-52issue
6eissn
1057-9230issn
1099-1050pii
10.1002/(SICI)1099-1050(199909)8:6<547::AID-HEC463journal_volume
8pub_type
杂志文章相关文献
HEALTH ECONOMICS文献大全abstract::This research note analyzes differences in the number of absent working days and doctor visits and in their cyclicality between private sector, public sector and self-employed workers. For this purpose, I used large-scale German survey data for the years 1995 to 2007 to estimate random effects negative binomial (count...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2808
更新日期:2013-03-01 00:00:00
abstract::This paper investigates the causal effect of Oportunidades, a conditional cash-transfer program in Mexico, on overweight and obesity of adolescents living in poor rural areas. Affecting youth weight was not a goal of this program. However, health economics research suggests that the provision of schooling, health info...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1773
更新日期:2011-09-01 00:00:00
abstract::This paper estimates the effect of diabetes on labor-force participation, hours worked, days-out-of-work due to illness, and earnings using data from the National Health Interview Survey. Findings indicate that diabetes, estimated wholly, is significantly detrimental to most labor market outcomes. However, separation ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1685
更新日期:2011-12-01 00:00:00
abstract::In a previous paper, the reliability of willingness-to-pay (WTP) values was found to be an increasing function of the size of WTP expressed. Here, the results of a qualitative exercise conducted alongside this quantitative study are presented. The results of this exercise suggest that higher WTP values may require mor...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1155
更新日期:2007-02-01 00:00:00
abstract::Using primary data from Laos, we compare a broad range of different types of shocks in terms of their incidence, distribution between the poor and the better off, idiosyncrasy, costs, coping responses, and self-reported impacts on well-being. Health shocks are more common than most other shocks, more concentrated amon...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2944
更新日期:2014-06-01 00:00:00
abstract::As the latest government effort to reform China's health care system, Urban Resident Basic Medical Insurance (URBMI) was piloted in seventy-nine cities during the summer of 2007, following State Council Policy Document 2007 No. 20's guidelines. This study presents the first economic analysis of URBMI, following a nati...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1500
更新日期:2009-07-01 00:00:00
abstract::Mixed payment systems have become a prominent alternative to paying physicians through fee-for-service and capitation. While theory shows mixed payment systems to be superior, causal effects on physicians' behavior when introducing mixed systems are not well understood empirically. We systematically analyze the influe...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3292
更新日期:2017-02-01 00:00:00
abstract::Recently, a number of papers have brought up the issue of how to make cost-effectiveness (CE) studies stochastic, i.e. how to obtain confidence intervals for CE ratios. In this note we present a bootstrap procedure for estimating bias-corrected confidence intervals for CE ratios. The bootstrap procedure is tested in a...
journal_title:Health economics
pub_type: 评论,杂志文章
doi:10.1002/(sici)1099-1050(199803)7:2<143::aid-hec322
更新日期:1998-03-01 00:00:00
abstract::Pharmacy acquisition costs for prescription (Rx ) drugs have been trending below levels implied by the Bureau of Labor Statistics' (BLS) Consumer Price Index for Rx drugs, with the divergence higher when generic approvals are high. Dropping the first 6 months of generic sales from price indices calculated from pharmac...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4165
更新日期:2020-12-01 00:00:00
abstract::The impact of administrative decentralisation on equity in health and health care is an important unresolved issue in the health policy debate. Predictions from the limited theoretical literature and the relevant empirical research are both insufficient to draw any firm conclusions. Many countries are nevertheless exp...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1272
更新日期:2008-03-01 00:00:00
abstract::Perceived quality of private and public health care, income and insurance premium are among the determinants of demand for private health insurance (PHI). In the context of a model in which individuals are expected utility maximizers, the non purchasing choice can result in consuming either public health care or priva...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.756
更新日期:2003-07-01 00:00:00
abstract::Successive UK governments have pursued a policy of community care for people with learning disabilities which, in the past ten years, has led to a marked change in the nature of residential provision. Research evidence on the costs and quality of alternative forms of community provision is inconclusive and contradicto...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4730020308
更新日期:1993-10-01 00:00:00
abstract::In this paper, I use nationally representative longitudinal data to examine adolescent depression and educational attainment. First, I examine the individual, family, and community-level determinants of adolescent depression, diagnosis, and treatment. I find that male and minority adolescents who score high on depress...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1319
更新日期:2008-11-01 00:00:00
abstract::Since 1988, the minimum legal drinking age (MLDA) has been 21 years for all 50 US states. The increasing prevalence of teenagers driving under the influence (DUI) of alcohol and the resulting traffic accidents were two main reasons for raising the MLDA to 21 years. Following the passage of this legislation, several pu...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1126
更新日期:2006-12-01 00:00:00
abstract::We report the results from two surveys designed to explore whether an application of Harsanyi's principle of choice form behind a veil of ignorance (VEI) can be used in order to measure the health of populations. This approach was tentatively recommended by Murray et al. (Bull. World Health Organ 2000; 78: 981-994; Su...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.887
更新日期:2005-01-01 00:00:00
abstract::Few countries are immune to the international health care 'virus' of reform, with many countries regularly re-cycling changes that shift costs and benefits in ways that are arbitrary, inefficient and offer short term political palliation. Much of this activity has little evidence base and reveals lack of clarity in de...
journal_title:Health economics
pub_type: 杂志文章,评审
doi:10.1002/hec.1048
更新日期:2005-09-01 00:00:00
abstract::The objective of this paper is to evaluate the effect of a non-fatal road crash on the health-related quality of life of injured people. A new approach based on the cardinalization of categorical Self-Assessed Health valuations is suggested. Health losses have been estimated by using different Time Trade-off and Visua...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1729
更新日期:2012-05-01 00:00:00
abstract:RATIONALE:There are many interventions for HIV/AIDS that require that people know their status and hence require a HIV test. Testing that is driven by a desire to prevent the spread of the disease often has an indirect effect on others. These external effects need to be identified, quantified and included as part of th...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1457
更新日期:2010-02-01 00:00:00
abstract::This empirical study presents estimates of the impact of unemployment on psychological health using U.K. household panel data. The causal impact of unemployment is established using instrumental variable methods. Psychological health is measured using both the General Household Questionnaire measure and also self-repo...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2831
更新日期:2013-06-01 00:00:00
abstract::This paper focuses on the effects of a 2005 health insurance reform in Vietnam. Through this reform, public health insurance was newly offered to nonpoor children under 6 years old, but it required the use of community health facilities. This requirement potentially limited the value of the insurance. Employing differ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3980
更新日期:2020-03-01 00:00:00
abstract::The widely-accepted hypothesis of a development sequence from colorectal adenoma to carcinoma is felt by clinicians to legitimate adenoma excision during routine colonoscopic investigation. Using published data on adenoma development, and adenoma prevalence data derived from the Nottingham colorectal cancer screening ...
journal_title:Health economics
pub_type: 临床试验,杂志文章
doi:10.1002/hec.4730010108
更新日期:1992-04-01 00:00:00
abstract::Government projections of future health care expenditures--a great concern given the aging baby-boom generation--are based on econometric regressions that control explicitly for age but do not control for end-of-life expenditures. Because expenditures increase dramatically on average at the end of life, predictions of...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.831
更新日期:2004-04-01 00:00:00
abstract::We study horizontal inequity in home care use in the Netherlands, where a social insurance scheme aims to allocate long-term care according to care needs. Whether the system reaches its goal depends not only on whether eligible individuals have equal access to care but also on whether entitlements for care reflect nee...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4126
更新日期:2020-10-01 00:00:00
abstract::Using a random sample of more than 4000 veterans, we test the effects of combat exposure on mental health. We focus on two cohorts of veterans: those who served in Vietnam (1964-1975) and the Gulf War (1990-1991). Combat exposure differed between these groups in intensity, duration and elapsed time since exposure. We ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1594
更新日期:2011-04-01 00:00:00
abstract::Decisions about the adoption of medical interventions are informed by evidence on their costs and effects. For a range of reasons, evidence relating to medical devices may be limited. The decision to adopt a device early in its life cycle when the evidence base is least mature may impact on the prospects of acquiring ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3467
更新日期:2017-02-01 00:00:00
abstract::Statistical analysis of cost data is often difficult because of highly skewed data resulting from a few patients who incur high costs relative to the majority of patients. When the objective is to predict the cost for an individual patient, the literature suggests that one should choose a regression model based on the...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/1099-1050(200007)9:5<397::aid-hec527>3.0.c
更新日期:2000-07-01 00:00:00
abstract::Health production models include participation in physical activity as an input. We investigate the relationship between participation in physical activity and health using a bivariate probit model. Participation is identified with an exclusion restriction on a variable reflecting sense of belonging to the community. ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2900
更新日期:2014-01-01 00:00:00
abstract::There is an increasing use of the discrete choice experiment (DCE) method in health care to estimate preferences of individuals and the public for different services. Despite this increasing use, there are few studies that investigate the validity of the DCE in health. This study investigates the external validity of ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3076
更新日期:2015-08-01 00:00:00
abstract::Epidemiological studies indicate that minority populations in the US - including African Americans, Native Americans and Mexican Americans - are particularly at risk for diabetes and that their complications are more frequent and severe. Using microdata from a 1994-1999 population based study of middle aged and older ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.676
更新日期:2002-07-01 00:00:00
abstract::This paper is the first to investigate both the technical and cost efficiency of more than 1500 German general hospitals. More specifically, it deals with the question how hospital efficiency varies with ownership, patient structure, and other exogenous factors, which are neither inputs to nor outputs of the productio...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1388
更新日期:2008-09-01 00:00:00