Abstract:
:Flat capitation (uniform prospective payments) makes enrolling healthy enrollees profitable to health plans. Plans with relatively generous benefits may attract the sick and fail through a premium spiral. We simulate a model of idealized managed competition to explore the effect on market performance of alternatives to flat capitation such as severity-adjusted capitation and reduced supply-side cost-sharing. In our model flat capitation causes severe market problems. Severity adjustment and to a lesser extent reduced supply-side cost-sharing improve market performance, but outcomes are efficient only in cases in which people bear the marginal costs of their choices.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Keeler EB,Carter G,Newhouse JPdoi
10.1016/s0167-6296(97)00029-5subject
Has Abstractpub_date
1998-06-01 00:00:00pages
297-320issue
3eissn
0167-6296issn
1879-1646pii
S0167-6296(97)00029-5journal_volume
17pub_type
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journal_title:Journal of health economics
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journal_title:Journal of health economics
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journal_title:Journal of health economics
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journal_title:Journal of health economics
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journal_title:Journal of health economics
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更新日期:2015-07-01 00:00:00
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journal_title:Journal of health economics
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journal_title:Journal of health economics
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更新日期:1995-12-01 00:00:00
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journal_title:Journal of health economics
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更新日期:2007-09-01 00:00:00
abstract::The Orphan Drug Act (ODA) was designed to spur the development of drugs for rare diseases. In principle, its design also incentivizes pharmaceutical firms to develop drugs for "rare" subdivisions of more prevalent diseases. I find that in response to this incentive, firms develop drugs for ODA-qualifying subdivisions ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2009.06.011
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journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(01)00095-9
更新日期:2001-09-01 00:00:00
abstract::Graduated driver licensing (GDL) is a critical policy tool for potentially improving teenage driving while reducing teen accident exposure. While previous studies demonstrated that GDL reduces teenage involvement in fatal crashes, much remains unanswered. We explore the mechanisms through which GDL influences accident...
journal_title:Journal of health economics
pub_type: 杂志文章
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更新日期:2010-01-01 00:00:00
abstract::Prenatal care should improve infant health, yet research frequently finds only weak effects. If there are two kinds of pregnancies, 'complicated' and 'normal' ones, then combining these pregnancies may lead prenatal care to appear ineffective. Data from the National Maternal and Infant Health Survey (NMIHS) offers com...
journal_title:Journal of health economics
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doi:10.1016/j.jhealeco.2004.09.012
更新日期:2005-05-01 00:00:00
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journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.06.013
更新日期:2017-09-01 00:00:00
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journal_title:Journal of health economics
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doi:10.1016/j.jhealeco.2009.11.010
更新日期:2010-01-01 00:00:00
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journal_title:Journal of health economics
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journal_title:Journal of health economics
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journal_title:Journal of health economics
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journal_title:Journal of health economics
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journal_title:Journal of health economics
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更新日期:2017-03-01 00:00:00
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journal_title:Journal of health economics
pub_type: 杂志文章
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更新日期:1999-01-01 00:00:00
abstract::This study estimates the impact of the price of alcoholic beverages on latent dimensions of current alcohol dependence and abuse. A three-part econometric model is used to estimate the impact of price on three latent dimensions (factors). For heavier drinking, the estimated price elasticity is -1.325 (P = 0.027); for ...
journal_title:Journal of health economics
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更新日期:2003-01-01 00:00:00
abstract::We study an enhanced fee-for-service model for primary care physicians in the Family Health Groups (FHG) in Ontario, Canada. In contrast to the traditional fee-for-service (FFS) model, the FHG model includes targeted fee increases, extended hours, performance-based initiatives, and patient enrolment. Using a long pane...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.10.005
更新日期:2011-01-01 00:00:00
abstract::This paper analyses contracts to keep down costs while maintaining quality of health services when patient demand does not reflect quality. There is then a natural role for forms of contract that have emerged during the reforms of the NHS in Britain that differ from pure fixed price or cost reimbursement contracts. Th...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(97)00019-2
更新日期:1998-01-01 00:00:00
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journal_title:Journal of health economics
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doi:10.1016/j.jhealeco.2018.02.006
更新日期:2018-03-01 00:00:00
abstract::The level and distribution of patient waiting times for elective treatment are a major concern in publicly funded health care systems. Strict targets, which have specified maximum waiting times, have been introduced in the NHS over the last decade and have been criticised for distorting existing clinical priorities in...
journal_title:Journal of health economics
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doi:10.1016/j.jhealeco.2015.02.001
更新日期:2015-05-01 00:00:00
abstract::In a recent paper in this journal Abasolo and Tsuchiya [Abasolo, I., Tsuchiya, A., 2004. Exploring social welfare functions and violation of monotonicity: an example from inequalities in health. Journal of Health Economics 23, 313-329] have strongly argued for the use of a non-monotonic health related social welfare f...
journal_title:Journal of health economics
pub_type: 评论,杂志文章
doi:10.1016/j.jhealeco.2006.08.001
更新日期:2007-03-01 00:00:00