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Risk Adjusting Community Rated Health Plan...
Journal article

Risk Adjusting Community Rated Health Plan Premiums: A Survey of Risk Assessment Literature and Policy Applications

Abstract

This paper surveys recent health care reform debates and empirical evidence regarding the potential role for risk adjusters in addressing the problem of competitive risk segmentation under capitated financing. We discuss features of health plan markets affecting risk selection, methodological considerations in measuring it, and alternative approaches to financial correction for risk differentials. The appropriate approach to assessing risk …

Authors

Giacomini M; Luft HS; Robinson JC

Journal

Annual Review of Public Health, Vol. 16, No. 1, pp. 401–430

Publisher

Annual Reviews

Publication Date

May 1995

DOI

10.1146/annurev.pu.16.050195.002153

ISSN

0163-7525