Improving Risk Adjustment in the Czech Republic

Radovan Chalupka

Prague Economic Papers, 2010, vol. 2010, issue 3, 236-250

Abstract: This paper analyses possible options how to improve the risk adjustment of the health insurance system in the Czech Republic. From the possible options it argues for including pharmaceutical cost groups (PCGs) as additional risk factors since it is an improvement that can be implemented almost instantaneously. On real data from an anonymous sickness fund it confirms that predictive performance of PCGs models is consistently better than the performance of the demographic model that is currently used. The study also describes and examines the Czech health insurance market and implications of proposed changes of policy makers. Based on experience from other countries we point to a problem of risk selection if the changes are not accompanied by a tighter regulation, specifically in the form of improved risk adjustment formula.

Keywords: Czech Republic; health insurance; risk adjustment; pharmaceutical cost groups (search for similar items in EconPapers)
JEL-codes: C10 D82 G22 I10 I11 I18 (search for similar items in EconPapers)
Date: 2010
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
http://pep.vse.cz/doi/10.18267/j.pep.374.html (text/html)
http://pep.vse.cz/doi/10.18267/j.pep.374.pdf (application/pdf)
free of charge

Related works:
Working Paper: Improving Risk Adjustment in the Czech Republic (2009)
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:prg:jnlpep:v:2010:y:2010:i:3:id:374:p:236-250

Ordering information: This journal article can be ordered from
Editorial office Prague Economic Papers, University of Economics, nám. W. Churchilla 4, 130 67 Praha 3, Czech Republic
http://pep.vse.cz

DOI: 10.18267/j.pep.374

Access Statistics for this article

Prague Economic Papers is currently edited by Klára Pavlová

More articles in Prague Economic Papers from Prague University of Economics and Business Contact information at EDIRC.
Bibliographic data for series maintained by Stanislav Vojir ().