Models of Health Plan Payment and Quality Reporting

Edited by Jacob Glazer and Thomas G McGuire

in World Scientific Books from World Scientific Publishing Co. Pte. Ltd.

Abstract: The book pulls together a series of articles by the authors that initiated the research areas of "optimal risk adjustment" and "optimal quality reporting." The papers present the basic theoretical models and link them to empirical application. Design of health insurance premiums to achieve efficient and fair outcomes is also covered. The chapters in the book also cover the intellectual development of approaches to health insurance regulation, beginning with more abstract models to those with explicit empirical and policy applications.

Keywords: Health Insurance; Regulation; Adverse Selection; Efficiency; Fairness; Risk Adjustment; Quality Reporting (search for similar items in EconPapers)
JEL-codes: I13 (search for similar items in EconPapers)
Date: 2017
ISBN: 9789813202870
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https://www.worldscientific.com/worldscibooks/10.1142/10336 (text/html)
Ebook Access is available upon purchase

Chapters in this book:

Ch 1 OPTIMAL RISK ADJUSTMENT IN MARKETS WITH ADVERSE SELECTION: AN APPLICATION TO MANAGED CARE , pp 1-28

Jacob Glazer and Thomas G. McGuire

Ch 2 MEASURING ADVERSE SELECTION IN MANAGED HEALTH CARE , pp 29-57

Richard G. Frank, Jacob Glazer and Thomas G. McGuire

Ch 3 SETTING HEALTH PLAN PREMIUMS TO ENSURE EFFICIENT QUALITY IN HEALTH CARE: MINIMUM VARIANCE OPTIMAL RISK ADJUSTMENT , pp 59-82

Jacob Glazer and Thomas G. McGuire

Ch 4 OPTIMAL QUALITY REPORTING IN MARKETS FOR HEALTH PLANS , pp 83-104

Jacob Glazer and Thomas G. McGuire

Ch 5 USING GLOBAL RATINGS OF HEALTH PLANS TO IMPROVE THE QUALITY OF HEALTH CARE , pp 105-133

Jacob Glazer, Thomas G. McGuire, Zhun Cao and Alan Zaslavsky

Ch 6 GOLD AND SILVER HEALTH PLANS: ACCOMMODATING DEMAND HETEROGENEITY IN MANAGED COMPETITION , pp 135-160

Jacob Glazer and Thomas G. McGuire

Ch 7 MAKING MEDICARE ADVANTAGE A MIDDLE-CLASS PROGRAM , pp 161-191

Jacob Glazer and Thomas G. McGuire

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