Using Subjective Risk Adjusting to Prevent Patient Dumping in the Health Care Industry
Author
Abstract
Suggested Citation
DOI: 10.1111/j.1430-9134.1999.00351.x
Download full text from publisher
References listed on IDEAS
- Bengt Holmstrom, 1982.
"Moral Hazard in Teams,"
Bell Journal of Economics, The RAND Corporation, vol. 13(2), pages 324-340, Autumn.
- Bengt Holmstrom, 1981. "Moral Hazard in Teams," Discussion Papers 471, Northwestern University, Center for Mathematical Studies in Economics and Management Science.
- Mark McClellan, 1997. "Hospital Reimbursement Incentives: An Empirical Analysis," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 6(1), pages 91-128, March.
- Eze, Pius & Wolfe, Barbara, 1993. "Is dumping socially inefficient? : An analysis of the effect of Medicare's prospective payment system on the utilization of Veterans Affairs inpatient services," Journal of Public Economics, Elsevier, vol. 52(3), pages 329-344, October.
- Rajiv L. Sharma, 1998. "Health‐Care Payment Systems: Cost and Quality Incentives—Comment," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 7(1), pages 127-137, March.
- Bengt Holmstrom, 1979.
"Moral Hazard and Observability,"
Bell Journal of Economics, The RAND Corporation, vol. 10(1), pages 74-91, Spring.
- Bengt Holmstrom, 1997. "Moral Hazard and Observability," Levine's Working Paper Archive 1205, David K. Levine.
- Ching-to Albert Ma, 1997. "Cost and Quality Incentives in Health Care: Altruistic Providers," Papers 0084, Boston University - Industry Studies Programme.
- HOLMSTROM, Bengt, 1979. "Moral hazard and observability," LIDAM Reprints CORE 379, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
- Ma, Ching-to Albert, 1994.
"Health Care Payment Systems: Cost and Quality Incentives,"
Journal of Economics & Management Strategy, Wiley Blackwell, vol. 3(1), pages 93-112, Spring.
- Ching‐to Albert Ma, 1994. "Health Care Payment Systems: Cost and Quality Incentives," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 3(1), pages 93-112, March.
- Ching-to Albert Ma, 1994. "Health Care Payment Systems: Cost and Quality Incentives," Papers 0047, Boston University - Industry Studies Programme.
- Ching‐to Albert Ma, 1998. "Health‐Care Payment Systems: Cost and Quality Incentives—Reply," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 7(1), pages 139-142, March.
- Randall P. Ellis & Thomas G. McGuire, 1993. "Supply-Side and Demand-Side Cost Sharing in Health Care," Journal of Economic Perspectives, American Economic Association, vol. 7(4), pages 135-151, Fall.
- Ellis, Randall P., 1998. "Creaming, skimping and dumping: provider competition on the intensive and extensive margins1," Journal of Health Economics, Elsevier, vol. 17(5), pages 537-555, October.
- Joseph P. Newhouse, 1996. "Reimbursing Health Plans and Health Providers: Efficiency in Production versus Selection," Journal of Economic Literature, American Economic Association, vol. 34(3), pages 1236-1263, September.
Citations
Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
Cited by:
- Michel Mougeot & Florence Naegelen, 2009. "Adverse Selection, Moral Hazard, and Outlier Payment Policy," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 76(1), pages 177-195, March.
- Schokkaert, Erik & Van de Voorde, Carine, 2004.
"Risk selection and the specification of the conventional risk adjustment formula,"
Journal of Health Economics, Elsevier, vol. 23(6), pages 1237-1259, November.
- Erik SCHOKKAERT & Carine VAN DE VOORDE, 2000. "Risk Selection and the Specification of the Conventional Risk Adjustment Formula," Working Papers of Department of Economics, Leuven ces0011, KU Leuven, Faculty of Economics and Business (FEB), Department of Economics, Leuven.
- Shen, Yujing & Ellis, Randall P., 2002.
"Cost-minimizing risk adjustment,"
Journal of Health Economics, Elsevier, vol. 21(3), pages 515-530, May.
- Yujing Shen & Randall P. Ellis, 1999. "Cost-Minimizing Risk Adjustment," Papers 0097, Boston University - Industry Studies Programme.
- Stam, Pieter J.A. & van Vliet, René C.J.A. & van de Ven, Wynand P.M.M., 2010. "A limited-sample benchmark approach to assess and improve the performance of risk equalization models," Journal of Health Economics, Elsevier, vol. 29(3), pages 426-437, May.
- Finocchiaro Castro Massimo & Lisi Domenico & Romeo Domenica, 2024.
"An Experimental Analysis of Patient Dumping Under Different Payment Systems,"
The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 24(1), pages 205-258, January.
- Castro, M.F.; & Lisi, D.; & Romeo, D.;, 2022. "An experimental analysis of patient dumping under different payment systems," Health, Econometrics and Data Group (HEDG) Working Papers 22/29, HEDG, c/o Department of Economics, University of York.
- Dalen, Dag Morten & Moen, Espen R & Riis, Christian, 2009. "Designing Competition in Health Care Markets," HERO Online Working Paper Series 2001:3, University of Oslo, Health Economics Research Programme.
- Mougeot, Michel & Naegelen, Florence, 2008.
"Supply-side risk adjustment and outlier payment policy,"
Journal of Health Economics, Elsevier, vol. 27(5), pages 1196-1200, September.
- Michel Mougeot & Florence Naegelen, 2008. "Supply side risk adjustment and outlier payment policy," Post-Print hal-00448482, HAL.
- Bijlsma, Michiel & Boone, Jan & Zwart, Gijsbert, 2017. "The complementarity between risk adjustment and community rating: Distorting market outcomes to facilitate redistribution," Journal of Public Economics, Elsevier, vol. 155(C), pages 21-37.
- Chalkley, Martin & Khalil, Fahad, 2005.
"Third party purchasing of health services: Patient choice and agency,"
Journal of Health Economics, Elsevier, vol. 24(6), pages 1132-1153, November.
- Fahad Khalil & Martin Chalkley, 2005. "Third Party Purchasing of Health Services: Patient Choice and Agency," Working Papers UWEC-2003-35-P, University of Washington, Department of Economics.
- Pablo Picasso, 2000. "Capitation," Macroeconomics 0004064, University Library of Munich, Germany, revised 24 Feb 2002.
- Martin Chalkley & Fahad Khalil, 2001. "Third Party Purchasing and Incentives: The "Outcome Movement" and Contracts for Health Services," Dundee Discussion Papers in Economics 125, Economic Studies, University of Dundee.
- Karen Eggleston, 2001. "Multitasking, Competition and Provider Payment," Discussion Papers Series, Department of Economics, Tufts University 0101, Department of Economics, Tufts University.
- Tsuyoshi Takahara, 2013. "Patient Dumping, Outlier Payments, and Optimal Healthcare Payment Policy under Asymmetric Information," ISER Discussion Paper 0891r, Institute of Social and Economic Research, Osaka University, revised Oct 2014.
- Tsuyoshi Takahara, 2016. "Patient dumping, outlier payments, and optimal healthcare payment policy under asymmetric information," Health Economics Review, Springer, vol. 6(1), pages 1-11, December.
- Köhler, Wolfgang R., 2004. "Optimal Incentive Contracts for Experts," Bonn Econ Discussion Papers 6/2004, University of Bonn, Bonn Graduate School of Economics (BGSE).
- Bijlsma, M. & Boone, Jan & Zwart, G.T.J., 2015.
"Community Rating in Health Insurance : Trade-Off Between Coverage and Selection,"
Other publications TiSEM
f95e5efa-523c-48e2-9ea1-f, Tilburg University, School of Economics and Management.
- Bijlsma, M. & Boone, Jan & Zwart, G.T.J., 2015. "Community Rating in Health Insurance : Trade-Off Between Coverage and Selection," Discussion Paper 2015-053, Tilburg University, Center for Economic Research.
- Boone, Jan & Zwart, Gijsbert, 2015. "Community rating in health insurance: trade-off between coverage and selection," CEPR Discussion Papers 10943, C.E.P.R. Discussion Papers.
- Bijlsma, M. & Boone, Jan & Zwart, G.T.J., 2015. "Community Rating in Health Insurance : Trade-Off Between Coverage and Selection," Other publications TiSEM 43ea34f9-763a-451a-9f12-5, Tilburg University, School of Economics and Management.
- Bijlsma, M. & Boone, Jan & Zwart, G.T.J., 2015. "Community Rating in Health Insurance : Trade-Off Between Coverage and Selection," Discussion Paper 2015-022, Tilburg University, Tilburg Law and Economic Center.
- Siciliani, Luigi, 2006. "Selection of treatment under prospective payment systems in the hospital sector," Journal of Health Economics, Elsevier, vol. 25(3), pages 479-499, May.
- Makoto Kakinaka & Ryuta Kato, 2013.
"Regulated medical fee schedule of the Japanese health care system,"
International Journal of Health Economics and Management, Springer, vol. 13(3), pages 301-317, December.
- Makoto Kakinaka & Ryuta Ray Kato, 2011. "Regulated Medical Fee Schedule of the Japanese Health Care System," Working Papers EMS_2011_13, Research Institute, International University of Japan.
- Barros, Pedro Pita, 2003. "Cream-skimming, incentives for efficiency and payment system," Journal of Health Economics, Elsevier, vol. 22(3), pages 419-443, May.
Most related items
These are the items that most often cite the same works as this one and are cited by the same works as this one.- Barros, Pedro Pita, 2003. "Cream-skimming, incentives for efficiency and payment system," Journal of Health Economics, Elsevier, vol. 22(3), pages 419-443, May.
- Ching‐To Albert Ma & Thomas G. Mcguire, 2002.
"Network Incentives in Managed Health Care,"
Journal of Economics & Management Strategy, Wiley Blackwell, vol. 11(1), pages 1-35, March.
- Ma, C.-t.A. & McGuirem T.G., 1998. "Network Incentives in Managed Health Care," Papers 94, Boston University - Department of Economics.
- Ching-to Albert Ma & Thomas G. McGuire, 1998. "Network Incentives in Managed Health Care," Papers 0094, Boston University - Industry Studies Programme.
- Feess, Eberhard & Ossig, Sonja, 2007. "Reimbursement schemes for hospitals, malpractice liability, and intrinsic motivation," International Review of Law and Economics, Elsevier, vol. 27(4), pages 423-441, December.
- Sonja Ossig & Eberhard Feess, 2004. "The impact of liability for malpractice on the optimal reimbursement schemes for health services," Econometric Society 2004 Far Eastern Meetings 396, Econometric Society.
- Siciliani, Luigi, 2006. "Selection of treatment under prospective payment systems in the hospital sector," Journal of Health Economics, Elsevier, vol. 25(3), pages 479-499, May.
- Brigitte Dormont & Carine Milcent, 2002.
"Quelle régulation pour les hôpitaux publics français ?,"
Revue Française d'Économie, Programme National Persée, vol. 17(2), pages 117-142.
- Brigitte Dormont & Carine Milcent, 2002. "Quelle régulation pour les hôpitaux publics français ?," Post-Print halshs-01990530, HAL.
- Makoto Kakinaka & Ryuta Kato, 2013.
"Regulated medical fee schedule of the Japanese health care system,"
International Journal of Health Economics and Management, Springer, vol. 13(3), pages 301-317, December.
- Makoto Kakinaka & Ryuta Ray Kato, 2011. "Regulated Medical Fee Schedule of the Japanese Health Care System," Working Papers EMS_2011_13, Research Institute, International University of Japan.
- Brigitte Dormont & Carine Milcent, 2005.
"How to Regulate Heterogeneous Hospitals?,"
Journal of Economics & Management Strategy, Wiley Blackwell, vol. 14(3), pages 591-621, September.
- Brigitte Dormont & Carine Milcent, 2003. "How to regulate heterogenous hospitals?," DELTA Working Papers 2003-19, DELTA (Ecole normale supérieure).
- Brigitte Dormont & Carine Milcent, 2005. "How to regulate heterogeneous hospitals," Post-Print halshs-00754065, HAL.
- Ma, Ching-to Albert & Mak, Henry Y., 2015.
"Information disclosure and the equivalence of prospective payment and cost reimbursement,"
Journal of Economic Behavior & Organization, Elsevier, vol. 117(C), pages 439-452.
- Ching-to Albert MA & Henry Y. Mak, 2012. "Information Disclosure and the Equivalence of Prospective Payment and Cost Reimbursement," Boston University - Department of Economics - Working Papers Series WP2012-008, Boston University - Department of Economics.
- Ching-to Albert Ma & Henry Y. Mak, 2013. "Information Disclosure and the Equivalence of Prospective Payment and Cost Reimbursement," Boston University - Department of Economics - Working Papers Series 2013-018, Boston University - Department of Economics.
- Tsuyoshi Takahara, 2016. "Patient dumping, outlier payments, and optimal healthcare payment policy under asymmetric information," Health Economics Review, Springer, vol. 6(1), pages 1-11, December.
- Brigitte Dormont & Carine Milcent, 2005.
"How to Regulate Heterogeneous Hospitals?,"
Journal of Economics & Management Strategy, Wiley Blackwell, vol. 14(3), pages 591-621, September.
- Brigitte Dormont & Carine Milcent, 2003. "How to regulate heterogenous hospitals?," DELTA Working Papers 2003-19, DELTA (Ecole normale supérieure).
- Brigitte Dormont, 2003. "How to Regulate Heterogeneous Hospistals," THEMA Working Papers 2003-11, THEMA (THéorie Economique, Modélisation et Applications), Université de Cergy-Pontoise.
- Brigitte Dormont & Carine Milcent, 2004.
"The sources of hospital cost variability,"
Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 927-939, October.
- Brigitte Dormont & Carine Milcent, 2004. "The sources of hospital cost variability," Post-Print halshs-01990473, HAL.
- Samwer Martina C., 2008. "When Less Liability Leads to More Care: Adverse Effects of Liability Regimes in Multitask Principal Agent Settings," Review of Law & Economics, De Gruyter, vol. 4(2), pages 641-664, December.
- Olga Milliken & Rose Anne Devlin & Vicky Barham & William Hogg & Simone Dahrouge & Grant Russell, 2008. "Comparative Efficiency Assessment of Primary Care Models Using Data Envelopment Analysis," Working Papers 0802E, University of Ottawa, Department of Economics.
- François MARECHAL & Michel MOUGEOT, 2004. "Risk sharing and moral hazard under prospective payment to hospitals: how to reimburse services for outlier patients," Cahiers de Recherches Economiques du Département d'économie 04.03, Université de Lausanne, Faculté des HEC, Département d’économie.
- Vislie, Jon, 2009. "Incentive Contracts for Public Health Care Provision under Adverse Selection and Moral Hazard," HERO Online Working Paper Series 2001:6, University of Oslo, Health Economics Research Programme.
- repec:dau:papers:123456789/5426 is not listed on IDEAS
- Karen Eggleston & Anupa Bir, 2009.
"Measuring Selection Incentives in Managed Care: Evidence From the Massachusetts State Employee Insurance Program,"
Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 76(1), pages 159-175, March.
- Anupa Bir & Karen Eggleston, 2006. "Measuring Selection Incentives in Managed Care: Evidence from the Massachusetts State Employee Insurance Program," Discussion Papers Series, Department of Economics, Tufts University 0605, Department of Economics, Tufts University.
- Boyd H. Gilman, 1999. "Measuring Hospital Cost‐Sharing Incentives Under Refined Prospective Payment," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 8(3), pages 433-452, September.
- Rajesh K. Aggarwal & Andrew A. Samwick, 1999.
"Executive Compensation, Strategic Competition, and Relative Performance Evaluation: Theory and Evidence,"
Journal of Finance, American Finance Association, vol. 54(6), pages 1999-2043, December.
- Rajesh Aggarwal & Andrew A. Samwick, 1996. "Executive Compensation, Strategic Competition, and Relative Performance Evaluation: Theory and Evidence," NBER Working Papers 5648, National Bureau of Economic Research, Inc.
- Roussey, Ludivine & Soubeyran, Raphael, 2018.
"Overburdened judges,"
International Review of Law and Economics, Elsevier, vol. 55(C), pages 21-32.
- Ludivine Roussey & Raphaël Soubeyran, 2018. "Overburdened judges," Post-Print hal-02621924, HAL.
- Ludivine Roussey & Raphaël Soubeyran, 2018. "Overburdened judges," Working Papers halshs-01936006, HAL.
- Ludivine Roussey & Raphaël Soubeyran, 2018. "Overburdened judges," CEE-M Working Papers halshs-01936006, CEE-M, Universtiy of Montpellier, CNRS, INRA, Montpellier SupAgro.
- Ludivine Roussey & Raphaël Soubeyran, 2018. "Overburdened judges," Working Papers hal-02791013, HAL.
Corrections
All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:jemstr:v:8:y:1999:i:3:p:351-382. See general information about how to correct material in RePEc.
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.kellogg.northwestern.edu/research/journals/JEMS/ .
Please note that corrections may take a couple of weeks to filter through the various RePEc services.