scholarly journals Risk equalization in competitive health insurance markets: Identifying healthy individuals on the basis of multiple-year low spending

2018 ◽  
Vol 54 (2) ◽  
pp. 455-465 ◽  
Author(s):  
Frank Eijkenaar ◽  
René C. J. A. van Vliet ◽  
Richard C. van Kleef
Keyword(s):  
Health Insurance ◽  
Insurance Markets ◽  
Healthy Individuals ◽  
Risk Equalization ◽  
Health Insurance Markets

Risk adjustment and risk equalization: what needs to be done?

2011 ◽  
Vol 6 (1) ◽  
pp. 147-156 ◽  
Author(s):  
Wynand P. M. M. Van de Ven
Keyword(s):  
Health Insurance ◽  
Risk Adjustment ◽  
State Of The Art ◽  
The State ◽  
Insurance Markets ◽  
Risk Equalization ◽  
Health Insurance Markets

AbstractIn this paper, we first deal with the rationale of risk adjustment and risk equalization in health insurance markets. Then we discuss the state of the art concerning the application of risk adjustment and risk equalization in practice. Finally, we focus on: What needs to be done?

Community Rating And Sustainable Individual Health Insurance Markets In New Jersey

2004 ◽  
Vol 23 (4) ◽  
pp. 167-175 ◽  
Author(s):  
Alan C. Monheit ◽  
Joel C. Cantor ◽  
Margaret Koller ◽  
Kimberley S. Fox
Keyword(s):  
Health Insurance ◽  
New Jersey ◽  
Insurance Markets ◽  
Community Rating ◽  
Individual Health ◽  
Health Insurance Markets

Contending with Risk Selection in Health Insurance Markets in Germany

2006 ◽  
Vol 7 (Supplement) ◽  
pp. 75-91 ◽  
Author(s):  
Jacob Glazer ◽  
Thomas G. McGuire
Keyword(s):  
Health Insurance ◽  
Risk Adjustment ◽  
Simple Approach ◽  
Insurance Markets ◽  
Risk Selection ◽  
Health Plans ◽  
Health Insurance Markets ◽  
The U.S

Abstract In many countries, competition among health plans or sickness funds raises issues of risk selection. Funds may discourage or encourage potential enrollees from joining, and these actions may have efficiency or fairness implications. This article reviews the experience in the U.S., and comments on the evidence for risk selection in Germany. There is little evidence that risk selection causes efficiency problems in Germany, but risk selection does lead to an inequality in contribution rates. A simple approach to equalizing contribution rates that does not involve risk adjustment is presented and discussed.

The Organization of Health Insurance Markets

2017 ◽  
pp. 263-291
Author(s):  
Sherman Folland ◽  
Allen C. Goodman ◽  
Miron Stano
Keyword(s):  
Health Insurance ◽  
Insurance Markets ◽  
Health Insurance Markets
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