Health Insurance Risk Equalisation

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The goal of risk equalization in regulated competitive health …

(Just Now) Different opinions exist about the goal of risk equalization in regulated competitive health insurance markets. There seems to be consensus that an element of the goal of risk equalization is ‘to remove the predictable over- and undercompensations of subgroups of insured’ or, equivalently, ‘to achieve a level … See more

https://link.springer.com/article/10.1007/s10198-022-01457-7

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Risk Equalisation

(5 days ago) WEBThe current risk equalisation arrangements commenced on 1 April 2007, and are set out in the Private Health Insurance (Risk Equalisation) Rules 2015. Some form of risk …

https://www.actuaries.asn.au/Library/Events/SUM/2017/SUM17ReidEtAlPaper.pdf

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How to equalise risk in healthcare systems - Milliman

(2 days ago) WEBIrish private health insurance market In Ireland risk equalisation is used to support a community-rated, voluntary private health insurance market. Each insurer is charged a …

https://us.milliman.com/-/media/milliman/pdfs/articles/equalise-risk-healthcare-systems.ashx

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Risk equalization - Wikipedia

(7 days ago) Risk equalization is a way of equalizing the risk profiles of insurance members to avoid loading premiums on the insured to some predetermined extent. In health insurance, it enables private health insurance to operate in some countries to be offered at a common rate for all even though insurers are not allowed by law to reject clients or impose special conditions for their health insurance. That is achieved by transfer payments by a risk equalization pool

https://en.wikipedia.org/wiki/Risk_equalization

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The goal of risk equalization in regulated competitive health …

(8 days ago) WEBIn other words: accord-ing to a minority the goal of risk equalization is to remove the predictable over- and undercompensations of subgroups of insured, and a majority gives …

https://link.springer.com/content/pdf/10.1007/s10198-022-01457-7.pdf

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Risk adjustment and risk equalization: what needs to be done?

(6 days ago) WEBIn this paper, we first deal with the rationale of risk adjustment and risk equalization in health insurance markets. Then we discuss the state of the art …

https://www.cambridge.org/core/journals/health-economics-policy-and-law/article/abs/risk-adjustment-and-risk-equalization-what-needs-to-be-done/745EF4D9F98E128D71ECE66B0C153E74

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Making Health Insurance Affordable: Role of Risk Equalization

(1 days ago) WEBFocuses on the why and how of scaling up health insurance, and examines three tools for scaling up health insurance: subsidies; mandatory community rating, and mandatory …

https://elibrary.worldbank.org/doi/10.1596/9780821382509_CH03

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Should administrative costs in health insurance be included in the …

(Just Now) WEBMost countries that apply risk-equalization in their health insurance market(s) perform risk-equalization on medical claims but do not include other …

https://link.springer.com/article/10.1007/s10198-022-01436-y

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Risk Equalization in Health Insurance: Effectiveness and - SSRN

(8 days ago) WEBObjectives: This paper seeks to analyze the effectiveness and sustainability of risk equalization by distinguishing risk types with high and low profit potential and by …

https://papers.ssrn.com/sol3/papers.cfm?abstract_id=993046

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Risk equalization Erasmus School of Health Policy

(6 days ago) WEBEijkenaar, F,, R van Kleef, R van Vliet (2018), Risk equalization in competitive health insurance markets: identifying healthy individuals on the basis of multiple-year low …

https://www.eur.nl/en/eshpm/research/research-groups/health-systems-and-insurance/themes/risk-equalization

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Risk equalisation in voluntary health insurance markets: A three

(7 days ago) WEB1. Introduction. Since the 1990s, many countries with a competitive market for mandatory health insurance, including Belgium, Germany, Israel, the Netherlands and …

https://www.sciencedirect.com/science/article/pii/S0168851010001673

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Risk Equalization and Risk Adjustment - Health Economics

(Just Now) WEBSo far most of the risk equalization literature in Europe focused on the social health insurance markets where consumers have a periodic choice of insurer. However, risk …

https://health.iresearchnet.com/health-economics/markets-in-health-care/risk-equalization-and-risk-adjustment/

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Making Health Insurance Affordable: Role of Risk Equalization

(3 days ago) WEBThree tools for scaling up health insurance are examined: different forms of subsidies to make health insurance affordable for low-income and/or high-risk individuals, …

https://www.semanticscholar.org/paper/Making-Health-Insurance-Affordable%3A-Role-of-Risk-Ven/2f04c201ae6706556b5b6fe3170b12379be009d2

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Risk equalisation in voluntary health insurance markets: A three

(1 days ago) WEBInsurance Selection Bias. Insurance, Health*. Ireland. Private Sector*. Risk*. South Africa. The paper summarises the conclusions for health policy from the experience of …

https://pubmed.ncbi.nlm.nih.gov/20656370/

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Risk equalisation The Health Insurance Authority

(8 days ago) WEBReport to the Minister for Health on an Evaluation and Analysis of Returns for 1 July 2020 to 30 June 2021 including advice on Risk Equalisation Credits (Redacted) pdf 1.33 MB. …

https://www.hia.ie/regulations/risk-equalisation

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Minister Donnelly welcomes approval to publish the Health …

(Just Now) WEBThe Risk Equalisation Scheme (RES) has operated in the health insurance market since 1 January 2013 and is provided for under the Health Insurance …

https://www.gov.ie/en/press-release/11fc4-minister-donnelly-welcomes-approval-to-publish-the-health-insurance-amendment/

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Risk equalization in The Netherlands: an empirical evaluation

(5 days ago) WEBThe Dutch basic health insurance includes a risk equalization model to compensate competing insurers for predictable variation in individual medical expenses …

https://www.tandfonline.com/doi/full/10.1586/14737167.2013.842127

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Health Insurance Levy/ Risk Equalisation Background

(3 days ago) WEBThe health credits and the community rating health insurance levy are administered by the health insurance companies and the Risk Equalisation Fund. Community rating …

https://www.hia.ie/sites/default/files/2022_01_25_Guide%20to%20Risk%20Equalisation%202018.pdf

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Private health insurance risk equalisation statistics APRA

(7 days ago) WEBPrivate health insurance risk equalisation financial year results 2022-23 XLSX 1.07 MB. Published 12 March 2024. Data in this publication are sourced from …

https://www.apra.gov.au/private-health-insurance-risk-equalisation-statistics

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Insurance and Imperfect Information OS Microeconomics 2e

(9 days ago) WEBInsurance is a method that households and firms use to prevent any single event from having a significant detrimental financial effect. Generally, households or firms with …

https://courses.lumenlearning.com/suny-microeconomics2/chapter/insurance-and-imperfect-information/

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Measuring total-premium inflation for health insurance in the …

(1 days ago) WEBThe pricing of health insurance in the Consumer Price Index (CPI) is difficult. Health insurance can be viewed as a composite good. The total price of health insurance is …

https://www.bls.gov/opub/mlr/2024/article/measuring-total-premium-inflation-for-health-insurance-in-the-cpi.htm

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Major health insurance companies nearing too big to fail status

(5 days ago) WEBHealth insurance companies have swelled in both size and scope over the last decade, with the revenues of six for-profit parent companies making up nearly 30% …

https://www.axios.com/2024/04/19/health-insurance-companies-uhg-aetna-cigna

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Strategic Insurance Partners (SIP) Personal & Business Insurance

(4 days ago) WEBAt Strategic Insurance Partners, we’ve been working alongside business owners in New York, New Jersey, and Pennsylvania for more than a century. Instituting extensive …

https://www.siprisk.com/

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Nelson Patterson Insurance Agency serving Bergen County, NJ

(8 days ago) WEBAbout Us. The Nelson-Patterson Insurance Agency, established in 1945, has provided professional insurance, risk management, employee benefit plan administration and …

https://www.nelson-patterson.com/learn-about-us/

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