Integrating Risk Adjustment and Enrollee Premiums in Health Plan Payment

In two important health policy contexts – private plans in Medicare and the new state-run “Exchanges” created as part of the Affordable Care Act (ACA) – plan payments come from two sources: risk-adjusted payments from a Regulator and premiums charged to individual enrollees. This paper derives princ...

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Main Authors: McGuire, Thomas G., Glazer, Jacob, Newhouse, Joseph P., Normand, Sharon-Lise, Shi, Julie, Sinaiko, Anna D., Zuvekas, Samuel
格式: Artigo
語言:Inglês
出版: 2013
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Article
在線閱讀:https://ncbi.nlm.nih.gov/pmc/articles/PMC3855655/
https://ncbi.nlm.nih.gov/pubmed/24308878
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1016/j.jhealeco.2013.05.002
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