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HEN: Risk-Adjustment & Case-Mix (Topic)

4,803 Total downloads

Viewing: 1 - 44 of 44 papers

1.
Downloads 641
2.

The Impact of the 2003 Texas Medical Malpractice Damages Cap on Physician Supply and Insurer Payouts: Separating Facts from Rhetoric

as published in Texas Advocate, pp. 25-34, Fall 2008, U of Texas Law, Law and Econ Research Paper No. 134, U Illinois Law & Economics Research Paper No. LE08-028
Number of pages: 11 Posted: 19 Aug 2008 Last Revised: 30 Dec 2008
Accepted Paper Series
University of Texas at Austin - School of Law, Georgetown University Law Center and Northwestern University - Pritzker School of Law
Downloads 531
3.

Upcoding: Evidence from Medicare on Squishy Risk Adjustment

Number of pages: 81 Posted: 02 Jun 2015 Last Revised: 19 Apr 2018
Working Paper Series
University of Texas at Austin and Harvard Medical School - Department of Health Care Policy

Multiple version iconThere are 2 versions of this paper

Downloads 395
4.

Medical Liability Insurance Premia 1990-2017: Dataset, Literature Review, and Summary Information

Journal of Empirical Legal Studies, forthcoming 2016, Northwestern Law & Econ Research Paper 16-04
Number of pages: 21 Posted: 30 Mar 2016 Last Revised: 21 Jul 2018
Accepted Paper Series
Northwestern University - Pritzker School of Law, Northwestern University, Feinberg School of Medicine, University of Hawaii - Department of Economics, Government of the United States of America - Bureau of the Census and Northwestern University - Kellogg School of Management
Downloads 330
5.

Microinsurance: Innovations in Low-Cost Health Insurance

Health Affairs, Vol. 28, No. 6, pp. 1788-1798, 2009
Number of pages: 11 Posted: 15 Apr 2010
Accepted Paper Series
Micro Insurance Academy (MIA), Micro Insurance Academy e.V., BAIF Development Research Foundation, affiliation not provided to SSRN, MACIF-Mutavie, NIDAN and Tel Aviv University - Professor Sackler Faculty of Medicine
Downloads 256
6.

Do Life Insurance Stocks Provide Superior Returns?

Number of pages: 14 Posted: 25 Apr 2007
Working Paper Series
Old Dominion University - Finance, Old Dominion University - Strome College of Business and Appalachian State University
Downloads 241
7.

Incidence of Illness Among Resource-Poor Households: Evidence From Five Locations in India

Indian Journal for Medical Research (New Delhi), Vol. 130, pp. 146-154, August 2009
Number of pages: 9 Posted: 01 Sep 2009 Last Revised: 23 Oct 2009
Accepted Paper Series
Micro Insurance Academy (MIA), Delft University of Technology - Faculty of Technology, Policy and Management and Tel Aviv University - Professor Sackler Faculty of Medicine
Downloads 223
8.

An Investigation of Time Preferences, Life Expectancy and Annuity versus Lump-Sum Choices – Can Smoking Harm Long-Term Saving Decisions?

Number of pages: 46 Posted: 07 Mar 2016 Last Revised: 21 Feb 2017
Working Paper Series
Hebrew University, Jerusalem Israel and Hebrew University of Jerusalem - Department of Finance
Downloads 191
9.

Screening in Contract Design: Evidence from the ACA Health Insurance Exchanges

Number of pages: 80 Posted: 10 Nov 2016 Last Revised: 11 Oct 2017
Working Paper Series
University of Texas at Austin, Harvard Medical School - Department of Health Care Policy and Harvard University

Multiple version iconThere are 2 versions of this paper

Downloads 164
10.

Pay-for-Performance and Selective Referral in Long-Term Care

Number of pages: 44 Posted: 22 May 2017
Working Paper Series
University of Tokyo, National Institute of Population & Social Security Research and Tokyo University of Science
Downloads 163
11.

COVID-19 and Environmental Law

Number of pages: 8 Posted: 24 Apr 2020
Working Paper Series
University of Illinois College of Law
Downloads 157
12.

Housing, Health, and Annuities

Number of pages: 24 Posted: 17 Jan 2008
Working Paper Series
University of British Columbia (UBC) - Sauder School of Business

Multiple version iconThere are 2 versions of this paper

Downloads 141
13.

Regulated Competition on Health Insurance Markets: Budget Balancing, Opt-out and Price Caps

Number of pages: 43 Posted: 04 Nov 2015 Last Revised: 05 Oct 2017
Working Paper Series
Bonn Graduate School of Economics, Students and Ecole Polytechnique- CREST
Downloads 128
14.

The Two Margin Problem in Insurance Markets

Number of pages: 74 Posted: 31 May 2019 Last Revised: 16 Sep 2019
Working Paper Series
University of Texas at Austin, Harvard Medical School - Department of Health Care Policy, Harvard University and Harvard University - Harvard Kennedy School (HKS)

Multiple version iconThere are 2 versions of this paper

Downloads 120
15.

Estimating Willingness-to-Pay for Health Insurance Among Rural Poor in India By Reference to Engel's Law

Social Science & Medicine 76 (2013) pp. 67-73
Number of pages: 8 Posted: 04 Jan 2013
Accepted Paper Series
Erasmus University Rotterdam (EUR), Micro Insurance Academy (MIA), IBEX Project Services and Tel Aviv University - Professor Sackler Faculty of Medicine
Downloads 115
16.

Demand Heterogeneity in Insurance Markets: Implications for Equity and Efficiency

Number of pages: 54 Posted: 15 Jul 2016 Last Revised: 11 Jan 2017
Working Paper Series
University of Texas at Austin

Multiple version iconThere are 2 versions of this paper

Downloads 106
17.

Online Appendix, Codebook, Public Dataset, and Code, to Accompany Medical Liability Insurance Premia 1990-2015: Dataset, Literature Review, and Summary Information

Number of pages: 1 Posted: 09 May 2016
Working Paper Series
Northwestern University - Pritzker School of Law, Northwestern University, Feinberg School of Medicine, University of Hawaii - Department of Economics, Government of the United States of America - Bureau of the Census and Northwestern University - Kellogg School of Management
Downloads 100
18.

Unveiling the Hidden Truth of Drug Addiction: A Social Media Approach Using Similarity Network-Based Deep Learning

Number of pages: 41 Posted: 27 Mar 2019 Last Revised: 02 Mar 2020
Working Paper Series
University of Delaware, Chinese Academy of Sciences (CAS) - Institute of Automation, University of Utah and University of Arizona - Department of Management Information Systems
Downloads 87
19.

Insurance Competition Under Asymmetric Categorization: Evidence from the Washington Automobile Insurance Market

Number of pages: 38 Posted: 04 Jun 2014 Last Revised: 13 Dec 2014
Working Paper Series
Duquesne University
Downloads 81
20.

Tradeoffs in the Design of Health Plan Payment Systems: Fit, Power and Balance

Number of pages: 42 Posted: 22 Feb 2015
Working Paper Series
University of Texas at Austin and Harvard University - Department of Health Care Policy

Multiple version iconThere are 2 versions of this paper

Downloads 79
21.

Regulation of Insurance with Adverse Selection and Switching Costs: Evidence from Medicare Part D

Number of pages: 71 Posted: 11 Dec 2014
Working Paper Series
Stanford University - Department of Health Research and Policy

Multiple version iconThere are 2 versions of this paper

Downloads 73
22.

The Suitability of Mandated Insurance for Health Coverage: Why Car is Not Like Care

Number of pages: 4 Posted: 11 Sep 2009
Working Paper Series
Institute of World Politics
Downloads 69
23.

Strategic Adverse Selection: Raising Competitor Costs in the Insurance Industry

Number of pages: 34 Posted: 04 Jun 2014
Working Paper Series
Duquesne University
Downloads 57
24.

Regulatory Pathways to Promote Treatment for Substance Use Disorder or Other Under-Treated Conditions Using Risk Adjustment

46 J. L. Med. & Ethics 945 (2018)
Number of pages: 5 Posted: 11 Oct 2018 Last Revised: 12 Mar 2019
Accepted Paper Series
Penn State Dickinson Law
Downloads 55
25.

Optimal Ex Post Risk Adjustment in Markets with Adverse Selection

Number of pages: 20 Posted: 19 Sep 2017 Last Revised: 18 Jun 2019
Working Paper Series
ESSEC Business School

Multiple version iconThere are 2 versions of this paper

Downloads 39
26.

Impact of Community-Based Health Insurance in Rural India on Self-Medication & Financial Protection of the Insured

Dror, D.M., Chakrarborty, A., Majumdar, A., Panda, P. and Koren, R. (2016) ‘Impact of community-based health insurance in rural India on self-medication & financial protection of the insured’, Indian Journal of Medical Research, 143(6), pp. 809–820. doi: 10.4103/0971-5916.192075.,
Number of pages: 13 Posted: 14 Oct 2016
Accepted Paper Series
Micro Insurance Academy (MIA), Public Health Foundation of India, Micro Insurance Academy, International Institute of Health Management Research and Tel Aviv University - Professor Sackler Faculty of Medicine
Downloads 38
27.

Racial Treatment Disparities after Machine Learning Surgical Risk-Adjustment

Number of pages: 36 Posted: 24 Oct 2017 Last Revised: 04 May 2020
Working Paper Series
University of Washington
Downloads 35
28.

The Healthy Washington Initiative: Blue-Ribbon Process, Red-Herring Result

Fordham Urban Law Journal, Vol. 35, p. 601, 2008
Number of pages: 27 Posted: 06 Aug 2008
Accepted Paper Series
Gonzaga University - School of Law
Downloads 34
29.

Hospital Admissions, Length of Stay, and Case-Mix Impacts of Per Case Payment: the Maryland Experience

NBER Working Paper No. w2010
Number of pages: 36 Posted: 26 May 2004 Last Revised: 01 Jul 2010
Working Paper Series
UMBC, Department of Public Policy and Johns Hopkins University - Department of Health Policy and Management
Downloads 32
30.

Team-Based Scarce Resource Allocation Model Under Stochastic Demand: An Application

Number of pages: 38 Posted: 14 Aug 2016 Last Revised: 03 Jun 2019
Working Paper Series
University of Michigan at Ann Arbor - Department of Industrial and Operations Engineering and University of Michigan at Ann Arbor - Department of Industrial and Operations Engineering
Downloads 32
31.

Wellness Programs, Broccoli, and Libertrarianism

Number of pages: 5 Posted: 19 May 2016
Working Paper Series
The John Marshall Law School
Downloads 28
32.

North Carolina Medicaid Reform: A Bipartisan Path Forward

Duke Law School Public Law & Legal Theory Series No. 2019-40
Number of pages: 148 Posted: 19 Jun 2019
Working Paper Series
Duke University, School of Law, Duke University School of Law, Duke University - Center for Health Policy, Law and Management, affiliation not provided to SSRN, affiliation not provided to SSRN, affiliation not provided to SSRN and affiliation not provided to SSRN
Downloads 20
33.

The Welfare Implications of Risk Adjustment in Imperfectly Competitive Markets

Number of pages: 61 Posted: 21 Jun 2018
Working Paper Series
Emory University - Department of Economics
Downloads 16
34.

A Physicians’ Agenda for Partnering with Employers and Insurers: Fresh Ideas

Mayo Clinic Proceedings, December 2006;81(12):1592-1602
Number of pages: 11 Posted: 01 Jun 2014
Accepted Paper Series
Texas A&M University - Department of Marketing, Baylor University - Hankamer School of Business, University of Pennsylvania and Institute for Healthcare Improvement
Downloads 14
35.

Wellness Programs, Broccoli, and Libertarianism

Number of pages: 4 Posted: 28 Apr 2016 Last Revised: 30 May 2016
Working Paper Series
The John Marshall Law School
Downloads 12
36.

Accounting Research on Health Care

Fourthcoming in Financial Accountability & Management
Posted: 23 Jun 2018
Accepted Paper Series
Aarhus University
37.

Analyzing Health Care Cost Data in the Presence of Heterogeneous Patients: Wouldn't Three Pieces Be Better than One?

iHEA 2007 6th World Congress: Explorations in Health Economics Paper
Posted: 20 Jun 2007
Working Paper Series
Government of the United States of America - Center for Organization, Leadership and Managment Research, Vanderbilt University, affiliation not provided to SSRN, University of Washington - Department of Health Services and University of Washington - Department of Health Services
38.

Bending the Cost Curve? Results from a Comprehensive Primary Care Payment Pilot

Medical Care 51(11), 2013
Posted: 04 Apr 2016
Accepted Paper Series
Northwestern University - Kellogg School of Management, University of Massachusetts Worcester - Medical School and Boston University
39.

Designing a Case-Mix Based Reimbursement System for Japanese Long-Term Care Hospital Beds

iHEA 2007 6th World Congress: Explorations in Health Economics Paper
Posted: 11 Jun 2007
Working Paper Series
Keio University - School of Medicine - Department of Health Policy & Management
40.

Do Health Plans Risk-Select? An Audit Study on Germany's Social Health Insurance

Journal of Public Economics, Vol. 96, No. 9-10, 2012
Posted: 04 Nov 2012
Accepted Paper Series
Center for Global Development
41.

Guaranteed Renewability in Health Insurance: How Much Frontloading?

iHEA 2007 6th World Congress: Explorations in Health Economics Paper
Posted: 28 Jun 2007
Working Paper Series
University of Zurich, Socioeconomic Institute and University of Zurich - Department of Economics
42.

Improvement of Risk Adjustment in German Social Health Insurance - What are the Implications for Interregional Transfers?

iHEA 2007 6th World Congress: Explorations in Health Economics Paper
Posted: 25 Jun 2007
Working Paper Series
Federal Insurance Office, University of Applied Sciences Fulda, WIdO Research Institute and University of Duisburg-Essen
44.

The Regulation in Private Health Care Market in Brazil: The Effects in Moral Hazard and Adverse Selection

Posted: 02 Jul 2009 Last Revised: 06 Jul 2009
Working Paper Series
Universidade do Vale do Rio dos Sinos - Faculty of Economics, Federal University of Rio Grande do Sul (UFRGS) and Universidade Nova de Lisboa