The Impact of Partial-Year Enrollment on the Accuracy of Risk-Adjustment Systems: A Framework and Evidence
Author
Abstract
Suggested Citation
Download full text from publisher
As the access to this document is restricted, you may want to look for a different version below or search for a different version of it.
Other versions of this item:
- Keith M. Marzilli Ericson & Kimberley H. Geissler & Benjamin Lubin, 2018. "The Impact of Partial-Year Enrollment on the Accuracy of Risk-Adjustment Systems: A Framework and Evidence," American Journal of Health Economics, University of Chicago Press, vol. 4(4), pages 454-478, Fall.
- Keith Marzilli Ericson & Kimberley Geissler & Benjamin Lubin, 2017. "The Impact of Partial-Year Enrollment on the Accuracy of Risk Adjustment Systems: A Framework and Evidence," NBER Working Papers 23765, National Bureau of Economic Research, Inc.
References listed on IDEAS
- Michael Geruso & Timothy Layton & Daniel Prinz, 2019.
"Screening in Contract Design: Evidence from the ACA Health Insurance Exchanges,"
American Economic Journal: Economic Policy, American Economic Association, vol. 11(2), pages 64-107, May.
- Michael Geruso & Timothy J. Layton & Daniel Prinz, 2016. "Screening in Contract Design: Evidence from the ACA Health Insurance Exchanges," NBER Working Papers 22832, National Bureau of Economic Research, Inc.
- Aviva Aron-Dine & Liran Einav & Amy Finkelstein & Mark Cullen, 2015. "Moral Hazard in Health Insurance: Do Dynamic Incentives Matter?," The Review of Economics and Statistics, MIT Press, vol. 97(4), pages 725-741, October.
- Jason Brown & Mark Duggan & Ilyana Kuziemko & William Woolston, 2014. "How Does Risk Selection Respond to Risk Adjustment? New Evidence from the Medicare Advantage Program," American Economic Review, American Economic Association, vol. 104(10), pages 3335-3364, October.
- Buchner, Florian & Goepffarth, Dirk & Wasem, Juergen, 2013. "The new risk adjustment formula in Germany: Implementation and first experiences," Health Policy, Elsevier, vol. 109(3), pages 253-262.
- Randall D. Cebul & James B. Rebitzer & Lowell J. Taylor & Mark E. Votruba, 2008.
"Organizational Fragmentation and Care Quality in the U.S. Healthcare System,"
Journal of Economic Perspectives, American Economic Association, vol. 22(4), pages 93-113, Fall.
- Randall D. Cebul & James B. Rebitzer & Lowell J. Taylor & Mark Votruba, 2008. "Organizational Fragmentation and Care Quality in the U.S. Health Care System," NBER Working Papers 14212, National Bureau of Economic Research, Inc.
- Jing Chen & Randall P. Ellis & Katherine H. Toro & Arlene S. Ash, 2015. "Mispricing in Medicare Advantage Risk Adjustment," Boston University - Department of Economics - Working Papers Series wp2015-020, Boston University - Department of Economics.
- Thomas G. McGuire & Jacob Glazer, 2000. "Optimal Risk Adjustment in Markets with Adverse Selection: An Application to Managed Care," American Economic Review, American Economic Association, vol. 90(4), pages 1055-1071, September.
- Keith M. Marzilli Ericson & Amanda Starc, 2015.
"Pricing Regulation and Imperfect Competition on the Massachusetts Health Insurance Exchange,"
The Review of Economics and Statistics, MIT Press, vol. 97(3), pages 667-682, July.
- Keith M. Marzilli Ericson & Amanda Starc, 2012. "Pricing Regulation and Imperfect Competition on the Massachusetts Health Insurance Exchange," NBER Working Papers 18089, National Bureau of Economic Research, Inc.
- Richard C. Kleef & Thomas G. McGuire & René C. J. A. Vliet & Wynand P. P. M. de Ven, 2017. "Improving risk equalization with constrained regression," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(9), pages 1137-1156, December.
- Geruso, Michael & McGuire, Thomas G., 2016.
"Tradeoffs in the design of health plan payment systems: Fit, power and balance,"
Journal of Health Economics, Elsevier, vol. 47(C), pages 1-19.
- Michael Geruso & Thomas G. McGuire, 2014. "Tradeoffs in the Design of Health Plan Payment Systems: Fit, Power and Balance," NBER Working Papers 20359, National Bureau of Economic Research, Inc.
- Michael Geruso & Timothy Layton, 2020.
"Upcoding: Evidence from Medicare on Squishy Risk Adjustment,"
Journal of Political Economy, University of Chicago Press, vol. 128(3), pages 984-1026.
- Michael Geruso & Timothy Layton, 2015. "Upcoding: Evidence from Medicare on Squishy Risk Adjustment," NBER Working Papers 21222, National Bureau of Economic Research, Inc.
- Colleen Carey, 2017. "Technological Change and Risk Adjustment: Benefit Design Incentives in Medicare Part D," American Economic Journal: Economic Policy, American Economic Association, vol. 9(1), pages 38-73, February.
- Timothy Layton & Alice K. Ndikumana & Mark Shepard, 2017. "Health Plan Payment in Medicaid Managed Care: A Hybrid Model of Regulated Competition," NBER Working Papers 23518, National Bureau of Economic Research, Inc.
- McGuire, Thomas G. & Newhouse, Joseph P. & Normand, Sharon-Lise & Shi, Julie & Zuvekas, Samuel, 2014. "Assessing incentives for service-level selection in private health insurance exchanges," Journal of Health Economics, Elsevier, vol. 35(C), pages 47-63.
Citations
Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
Cited by:
- Francesco Decarolis & Andrea Guglielmo & Calvin Luscombe, 2017. "Open Enrollment Periods and Plan Choices," NBER Working Papers 24156, National Bureau of Economic Research, Inc.
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.- Michael Geruso & Timothy J. Layton, 2017.
"Selection in Health Insurance Markets and Its Policy Remedies,"
Journal of Economic Perspectives, American Economic Association, vol. 31(4), pages 23-50, Fall.
- Michael Geruso & Timothy Layton, 2017. "Selection in Health Insurance Markets and Its Policy Remedies," NBER Working Papers 23876, National Bureau of Economic Research, Inc.
- Pilny, Adam & Wübker, Ansgar & Ziebarth, Nicolas R., 2017.
"Introducing risk adjustment and free health plan choice in employer-based health insurance: Evidence from Germany,"
Journal of Health Economics, Elsevier, vol. 56(C), pages 330-351.
- Pilny, Adam & Wübker, Ansgar & Ziebarth, Nicolas R., 2017. "Introducing Risk Adjustment and Free Health Plan Choice in Employer-Based Health Insurance: Evidence from Germany," IZA Discussion Papers 10870, Institute of Labor Economics (IZA).
- Pilny, Adam & Wübker, Ansgar & Ziebarth, Nicolas R., 2017. "Introducing Risk Adjustment and Free Health Plan Choice in Employer-Based Health Insurance: Evidence from Germany," VfS Annual Conference 2017 (Vienna): Alternative Structures for Money and Banking 168121, Verein für Socialpolitik / German Economic Association.
- Pilny, Adam & Wübker, Ansgar & Ziebarth, Nicolas R., 2017. "Introducing risk adjustment and free health plan choice in employer-based health insurance: Evidence from Germany," Ruhr Economic Papers 682, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
- Adam Pilny & Ansgar Wübker & Nicolas R. Ziebarth, 2017. "Introducing Risk Adjustment and Free Health Plan Choice in Employer-Based Health Insurance: Evidence from Germany," SOEPpapers on Multidisciplinary Panel Data Research 915, DIW Berlin, The German Socio-Economic Panel (SOEP).
- 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.
- Geruso, Michael & Layton, Timothy J. & McCormack, Grace & Shepard, Mark, 2019.
"The Two Margin Problem in Insurance Markets,"
Working Paper Series
rwp19-035, Harvard University, John F. Kennedy School of Government.
- Michael Geruso & Timothy J. Layton & Grace McCormack & Mark Shepard, 2019. "The Two Margin Problem in Insurance Markets," NBER Working Papers 26288, National Bureau of Economic Research, Inc.
- Savannah L. Bergquist & Timothy J. Layton & Thomas G. McGuire & Sherri Rose, 2018. "Intervening on the Data to Improve the Performance of Health Plan Payment Methods," NBER Working Papers 24491, National Bureau of Economic Research, Inc.
- Decarolis, Francesco & Guglielmo, Andrea, 2017.
"Insurers’ response to selection risk: Evidence from Medicare enrollment reforms,"
Journal of Health Economics, Elsevier, vol. 56(C), pages 383-396.
- Francesco Decarolis & Andrea Guglielmo, 2016. "Insurers' Response to Selection Risk: Evidence from Medicare Enrollment Reforms," NBER Working Papers 22876, National Bureau of Economic Research, Inc.
- Timothy J. Layton & Randall P. Ellis & Thomas G. McGuire, 2015.
"Assessing Incentives for Adverse Selection in Health Plan Payment Systems,"
Boston University - Department of Economics - Working Papers Series
wp2015-024, Boston University - Department of Economics.
- Timothy J. Layton & Randall P. Ellis & Thomas G. McGuire, 2015. "Assessing Incentives for Adverse Selection in Health Plan Payment Systems," NBER Working Papers 21531, National Bureau of Economic Research, Inc.
- Bergquist, Savannah L. & Layton, Timothy J. & McGuire, Thomas G. & Rose, Sherri, 2019. "Data transformations to improve the performance of health plan payment methods," Journal of Health Economics, Elsevier, vol. 66(C), pages 195-207.
- Timothy J. Layton & Thomas G. McGuire, 2017.
"Marketplace Plan Payment Options for Dealing with High-Cost Enrollees,"
American Journal of Health Economics, University of Chicago Press, vol. 3(2), pages 165-191, Spring.
- Timothy J. Layton & Thomas G. McGuire, 2017. "Marketplace Plan Payment Options for Dealing with High-Cost Enrollees," American Journal of Health Economics, MIT Press, vol. 3(2), pages 165-191, Spring.
- Timothy J. Layton & Thomas G. McGuire, 2016. "Marketplace Plan Payment Options for Dealing with High-Cost Enrollees," NBER Working Papers 22519, National Bureau of Economic Research, Inc.
- Michele Fioretti & Hongming Wang, 2019.
"Subsidizing Inequality: Performance Pay and Risk Selection in Medicare,"
Sciences Po publications
2019-15, Sciences Po.
- Michele Fioretti & Hongming Wang, 2019. "Subsidizing Inequality: Performance Pay and Risk Selection in Medicare," Sciences Po Economics Discussion Papers 2019-15, Sciences Po Departement of Economics.
- A. A. Withagen-Koster & R. C. Kleef & F. Eijkenaar, 2020. "Incorporating self-reported health measures in risk equalization through constrained regression," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(4), pages 513-528, June.
- Michael Geruso & Timothy Layton & Daniel Prinz, 2019.
"Screening in Contract Design: Evidence from the ACA Health Insurance Exchanges,"
American Economic Journal: Economic Policy, American Economic Association, vol. 11(2), pages 64-107, May.
- Michael Geruso & Timothy J. Layton & Daniel Prinz, 2016. "Screening in Contract Design: Evidence from the ACA Health Insurance Exchanges," NBER Working Papers 22832, National Bureau of Economic Research, Inc.
- Joseph P. Newhouse & Mary Beth Landrum & Mary Price & J. Michael McWilliams & John Hsu & Thomas G. McGuire, 2019.
"The Comparative Advantage of Medicare Advantage,"
American Journal of Health Economics, University of Chicago Press, vol. 5(2), pages 281-301, Spring.
- Joseph P. Newhouse & Mary Beth Landrum & Mary Price & J. Michael McWilliams & John Hsu & Thomas G. McGuire, 2019. "The Comparative Advantage of Medicare Advantage," American Journal of Health Economics, MIT Press, vol. 5(2), pages 281-301, Spring.
- Joseph P. Newhouse & Mary Beth Landrum & Mary Price & J. Michael McWilliams & John Hsu & Thomas McGuire, 2018. "The Comparative Advantage of Medicare Advantage," NBER Working Papers 24289, National Bureau of Economic Research, Inc.
- Layton, Timothy J. & McGuire, Thomas G. & van Kleef, Richard C., 2018.
"Deriving risk adjustment payment weights to maximize efficiency of health insurance markets,"
Journal of Health Economics, Elsevier, vol. 61(C), pages 93-110.
- Timothy J. Layton & Thomas G. McGuire & Richard C. van Kleef, 2016. "Deriving Risk Adjustment Payment Weights to Maximize Efficiency of Health Insurance Markets," NBER Working Papers 22642, National Bureau of Economic Research, Inc.
- Thomas G. McGuire & Anna L. Zink & Sherri Rose, 2020. "Simplifying and Improving the Performance of Risk Adjustment Systems," NBER Working Papers 26736, National Bureau of Economic Research, Inc.
- Jason Abaluck & Jonathan Gruber, 2016. "Improving the Quality of Choices in Health Insurance Markets," NBER Working Papers 22917, National Bureau of Economic Research, Inc.
- Francesco Decarolis & Andrea Guglielmo & Calvin Luscombe, 2017. "Open Enrollment Periods and Plan Choices," NBER Working Papers 24156, National Bureau of Economic Research, Inc.
- Colleen Carey, 2017. "Technological Change and Risk Adjustment: Benefit Design Incentives in Medicare Part D," American Economic Journal: Economic Policy, American Economic Association, vol. 9(1), pages 38-73, February.
- Sungchul Park & Anirban Basu, 2018. "Alternative evaluation metrics for risk adjustment methods," Health Economics, John Wiley & Sons, Ltd., vol. 27(6), pages 984-1010, June.
- Jonathan Gruber, 2017. "Delivering Public Health Insurance through Private Plan Choice in the United States," Journal of Economic Perspectives, American Economic Association, vol. 31(4), pages 3-22, Fall.
More about this item
Keywords
risk adjustment; insurance market competition; adverse selection; health-care markets; partial-year enrollment;All these keywords.
JEL classification:
- I1 - Health, Education, and Welfare - - Health
- I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
Statistics
Access and download statisticsCorrections
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:tpr:amjhec:v:4:y:2018:i:4:p:454-478. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Ann Olson). General contact details of provider: https://www.mitpressjournals.org/ .
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 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.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.