Not logged in.

Contribution Details

Type Journal Article
Scope Discipline-based scholarship
Title Capping risk adjustment?
Organization Unit
Authors
  • Patrick Eugster
  • Michele Sennhauser
  • Peter Zweifel
Item Subtype Original Work
Refereed Yes
Status Published in final form
Language
  • English
Journal Title Journal of Health Economics
Publisher Elsevier
Geographical Reach international
ISSN 0167-6296
Volume 29
Number 4
Page Range 499 - 507
Date 2010
Abstract Text When premiums are community-rated, risk adjustment (RA) serves to mitigate competitive insurers’ incentive to select favorable risks. However, unless fully prospective, it also undermines their incentives for efficiency. By capping its volume, one may try to counteract this tendency, exposing insurers to some financial risk. This in term runs counter the quest to refine the RA formula, which would increase RA volume. Specifically, the adjuster, “Hospitalization or living in a nursing home during the previous year” will be added in Switzerland starting 2012. This paper investigates how to minimize the opportunity cost of capping RA in terms of increased incentives for risk selection.
Digital Object Identifier 10.1016/j.jhealeco.2010.04.001
PDF File Download from ZORA
Export BibTeX
EP3 XML (ZORA)