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Full-Text Articles in Social and Behavioral Sciences
A Model Of The Impact Of Reimbursement Schemes On Health Plan Choice, Emmett Keeler, Grace Carter, Joseph Newhouse
A Model Of The Impact Of Reimbursement Schemes On Health Plan Choice, Emmett Keeler, Grace Carter, Joseph Newhouse
Emmett Keeler
Flat capitation (uniform prospective payments) makes enrolling healthy enrollees profitable to health plans. Plans with relatively generous benefits may attract the sick and fail through a premium spiral. We simulate a model of idealized managed competition to explore the effect on market performance of alternatives to flat capitation such as severity-adjusted capitation and reduced supply-side cost-sharing. In our model flat capitation causes severe market problems. Severity adjustment and to a lesser extent reduced supply-side cost-sharing improve market performance, but outcomes are efficient only in cases in which people bear the marginal costs of their choices.
New Deales: Other Approximations Of Life Expectancy, Emmett Keeler, Robert Bell
New Deales: Other Approximations Of Life Expectancy, Emmett Keeler, Robert Bell
Emmett Keeler
No abstract provided.
Hospital Characteristics And Quality Of Care, E. Keeler, L. Rubenstein, K. Kahn, D. Draper, E. Harrison, M. Mcginty, W. Rogers, R. Brook
Hospital Characteristics And Quality Of Care, E. Keeler, L. Rubenstein, K. Kahn, D. Draper, E. Harrison, M. Mcginty, W. Rogers, R. Brook
Emmett Keeler
OBJECTIVE: To compare quality of care measured by explicit criteria, implicit review, and sickness-adjusted outcomes at different types of hospitals. DESIGN: Further analysis of data retrospectively abstracted from medical records to evaluate the effects of prospective payment on quality of care for hospitalized Medicare patients. SETTING: Hospitals in five states were sampled to represent the national Medicare admissions along many dimensions. PATIENTS: A total of 14,008 elderly patients with one of the following five diseases: congestive heart failure, acute myocardial infarction, pneumonia, stroke, or hip fracture. These patients were randomly sampled from those with these diseases in 297 hospitals in …