Risk Equalisation In Health Care

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How to equalise risk in healthcare systems - Milliman

(2 days ago) WEBFIGURE 4: PARAMETERS USED IN RISK EQUALISATION SCHEMES AROUND THE WORLD. This is used to a limited extent in commercial (IND/SG), in some Medicaid states, and in managed Medicare. Socioeconomic status x age (SES), source of income x age …

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

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The goal of risk equalization in regulated competitive …

(Just Now) WEBThe Netherlands. Although risk equalization is generally considered as an important tool to remove the regulation-induced problems listed in “Regulation-induced …

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

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How to equalise risk in healthcare systems - Milliman

(8 days ago) WEBIn many healthcare systems and health insurance markets around the world where risk rating is not allowed, risk equalisation is used to enhance consumer …

https://www.milliman.com/en/insight/how-to-equalise-risk-in-healthcare-systems

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Scope and Incentives for Risk Selection in Health …

(3 days ago) WEBAnd “incentives” for selection by insurers might be greater in systems with risk equalization based on demographic information only than in systems that also risk …

https://journals.sagepub.com/doi/full/10.1177/10775587231222584

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Risk equalization in competitive health insurance markets: …

(3 days ago) WEB2. THE DUTCH HEALTH INSURANCE SYSTEM AND RISK EQUALIZATION MODEL. The Dutch health insurance system is based on Enthoven's model of regulated competition, …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407341/

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Making Health Insurance Affordable: Role of Risk …

(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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The potential role of risk-equalization mechanisms in …

(5 days ago) WEBcoverage, efficiency and equity in health care. After giving a brief overview of insurance-based health care financing in South Africa, the paper describes the economic theory …

https://www.jstor.org/stable/pdf/45089458.pdf

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Improving risk equalization with constrained regression

(3 days ago) WEBIntroduction. Several countries have adopted elements of Alain Enthoven’s model of regulated health plan competition [] which combines affordability of health plans with …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5641290/

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Risk adjustment and risk equalization: what needs to be …

(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 concerning the …

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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Improving risk equalization using multiple-year high cost as a …

(1 days ago) WEBMed Care. 2012 Feb;50(2):140-4. doi: 10.1097/MLR.0b013e31822ebf8b. Authors Background: More and more competitive health insurance markets use risk …

https://pubmed.ncbi.nlm.nih.gov/21945975/

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Improving the prediction model used in risk equalization: cost and

(9 days ago) WEBCurrently-used risk-equalization models do not adequately compensate insurers for predictable differences in individuals’ health care expenses. Consequently, …

https://link.springer.com/article/10.1007/s10198-014-0567-7

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Risk Equalization and Risk Adjustment - Health Economics

(Just Now) WEBSince 2000 the risk equalization systems in several European countries have been improved by adding relevant health-based risk adjusters. In the Netherlands the risk …

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

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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 Equalisation

(5 days ago) WEBEstimates the size of the risk equalisation pool in 2030, identifying the drivers of change. Comments on the future impact of the risk equalisation pool on the sustainability of the …

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

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Risk equalization - Wikipedia

(7 days ago) WEBRisk 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 …

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

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Risk equalisation in voluntary health insurance markets: A three

(1 days ago) WEBThe paper summarises the conclusions for health policy from the experience of three countries who have introduced risk equalisation subsidies, in their voluntary …

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

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Risk equalisation and voluntary health insurance markets: The case …

(7 days ago) WEBRisk equalisation has long been stated, by successive Governments, as being required to support community rating within the market and thus support equity …

https://www.sciencedirect.com/science/article/pii/S0168851010001685

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Risk equalisation in voluntary health insurance markets: A three

(1 days ago) WEBAll of these countries have developed VHI markets and have progressed towards introducing risk equalisation. The objective of such subsidies is primarily to make VHI …

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

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Risk equalisation and voluntary health insurance markets: The case …

(1 days ago) WEBIn April 2007, Australia introduced a risk equalisation (RE) scheme (de facto a claims equalisation scheme), which replaced an extant reinsurance scheme that had operated …

https://pubmed.ncbi.nlm.nih.gov/20638148/

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Department of Health and Aged Care

(8 days ago) WEBThe Australian Government Department of Health and Aged Care (Department) has engaged Finity to assess the operation of the current risk equalisation (RE) system, …

https://consultations.health.gov.au/medical-benefits-division/consultation-on-phi-studies/supporting_documents/Finity%20Consulting%20%20Risk%20Equalisation%20Final%20Report%20%20September%202022.pdf

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Risk equalization in competitive health insurance markets: …

(3 days ago) WEBhealth insurance, health measurement, risk equalization, spending, survey data DOI: 10.1111/1475-6773.13065 This is an open access article under the terms of the …

https://onlinelibrary.wiley.com/doi/pdf/10.1111/1475-6773.13065

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Public Health Considerations for Correctional Health

(6 days ago) WEBWorks with state, tribal, local, and territorial health departments to investigate disease outbreaks. Develops and provides useful health education materials for staff …

https://www.cdc.gov/correctional-health/about/index.html

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Five ways medical aid could be made cheaper - MSN

(2 days ago) WEBImplementation of regulations to help establish membership for all working people and a risk-equalisation mechanism would enhance the viability of medical scheme risk pools …

https://www.msn.com/en-za/news/other/five-ways-medical-aid-could-be-made-cheaper/ar-AA1jNmvS

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Do Not Use Cue Health’s COVID-19 Tests Due to Risk of False …

(3 days ago) WEBDate Issued: May 13, 2024. The U.S. Food and Drug Administration (FDA) is warning home test users, caregivers, and health care providers not to use Cue Health’s COVID-19 …

https://www.fda.gov/medical-devices/safety-communications/do-not-use-cue-healths-covid-19-tests-due-risk-false-results-fda-safety-communication

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Addressing Florida's infant mortality rate and barriers to health care

(8 days ago) WEBAlthough Florida has spent millions of dollars on maternal and infant health, its infant mortality rate has remained nearly stagnant for about a decade. In that time, …

https://health.wusf.usf.edu/health-news-florida/2024-05-20/addressing-floridas-infant-mortality-rate-and-barriers-to-health-care

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Patients with female doctors have lower risk of death, research …

(8 days ago) WEBWhile many hospitals acknowledge that diversity in health care is important, women make up just 16% of academic surgery department leaders in the United States. …

https://www.nbcnews.com/health/health-care/female-doctors-patients-lower-risk-death-complications-rcna151968

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California Adults With Adverse Childhood Experiences (ACEs) Are …

(5 days ago) WEBSummary: This policy brief uses data from the 2022 California Health Interview Survey to analyze the distribution of adverse childhood experiences (ACEs) and positive …

https://healthpolicy.ucla.edu/our-work/publications/adult-adverse-childhood-experiences-policy-brief-2024

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Testicular Microplastic Discovery Poses Fertility Risk - Newsweek

(2 days ago) WEBScientists have detected "significant concentrations" of microplastics in tissue form human testicles, raising concerns about their effects on reproductive health. …

https://www.newsweek.com/testicular-microplastic-discovery-fertility-risk-scientists-1902671

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Addressing Florida's infant mortality rate and barriers to health …

(6 days ago) WEBCindy Krischer Goodman, health care reporter for the South Florida Sun Sentinel, said infant mortality among Black babies is double that of white babies. “In …

https://www.wusf.org/health-news-florida/2024-05-20/florida-infant-mortality-rate-barriers-health-care-prenatal-care

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Univ. of Iowa Health Care neurologist on stroke warning signs, risk …

(6 days ago) WEBUniversity of Iowa Health Care neurologist Dr. Julie Gudenkauf joined us to talk about common warning signs of a stroke and what risk factors people should be …

https://www.kcrg.com/video/2024/05/20/univ-iowa-health-care-neurologist-stroke-warning-signs-risk-factors/

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The goal of risk equalization in regulated competitive health …

(3 days ago) WEBDifferent 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 …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9877069/

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Staphylococcus aureus Basics Staphylococcus aureus CDC

(8 days ago) WEBRisk factors. In the community, people are at greater risk of staph infections if they have chronic conditions (e.g., diabetes, cancer, vascular disease, etc.) or inject …

https://www.cdc.gov/staphylococcus-aureus/about/index.html

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NSW coroner recommends changes to a regional health service …

(7 days ago) WEBIn short: A NSW coroner has recommended changes be made at Albury Wodonga Health's Nolan House to improve patient safety. Roger Schnelle died from self …

https://www.abc.net.au/news/2024-05-16/roger-schnelle-inquest-nolan-house-recommendations-coroner/103855852

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