The performance of risk adjustment models in Colombian competitive health insurance market

We introduce new risk groups to a standard capitation formula and evaluate risk selection incentives of insurers. The study uses a unique data set of almost 24 million affiliates to Government's mandatory health insurance system. This data set is very rich in the sense of reporting all claims d...

Full description

Autores:

Riascos Villegas, Alvaro José
Alfonso, Eduardo
Romero, Mauricio

Tipo de recurso:

Work document

Fecha de publicación:

2014

Institución:

Universidad de los Andes

Repositorio:

Séneca: repositorio Uniandes

Idioma:

spa

OAI Identifier:

oai:repositorio.uniandes.edu.co:1992/8506

Acceso en línea:

http://hdl.handle.net/1992/8506

Palabra clave:

Risk adjustment
Diagnostic related groups
Risk selection
Seguridad social - Colombia - Modelos matemáticos
Seguros de salud - Evaluación de riesgos - Colombia
I11, I13, I18

Rights

openAccess

License

http://creativecommons.org/licenses/by-nc-nd/4.0/