A note on risk-sharing mechanisms for the colombian health insurance system
We evaluate, in terms of efficiency and selection incentives, four different ex post risk sharing mecha-nisms. Outlier risk sharing (ORS), proportional risk sharing (PRS), risk sharing for high costs (RSHC)and risk sharing for high risks. Our results suggest that the best mechanism in terms of their...
- Autores:
-
Riascos Villegas, Álvaro José
Camelo Gómez, Sergio Armando
- Tipo de recurso:
- Work document
- Fecha de publicación:
- 2017
- Institución:
- Universidad de los Andes
- Repositorio:
- Séneca: repositorio Uniandes
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.uniandes.edu.co:1992/8718
- Acceso en línea:
- http://hdl.handle.net/1992/8718
- Palabra clave:
- Risk adjustment
Risk selection
Efficiency
Seguros de salud - Colombia - Evaluación
Evaluación de riesgos
Evaluación de riesgos contra la salud - Colombia
I11, I13, I18, C45, C55
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by-nc-nd/4.0/
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| dc.title.none.fl_str_mv |
A note on risk-sharing mechanisms for the colombian health insurance system |
| dc.title.alternative.none.fl_str_mv |
Una nota sobre mecanismos de riesgo compartido en el sistema de aseguramiento de salud en Colombia |
| title |
A note on risk-sharing mechanisms for the colombian health insurance system |
| spellingShingle |
A note on risk-sharing mechanisms for the colombian health insurance system Risk adjustment Risk selection Efficiency Seguros de salud - Colombia - Evaluación Evaluación de riesgos Evaluación de riesgos contra la salud - Colombia I11, I13, I18, C45, C55 |
| title_short |
A note on risk-sharing mechanisms for the colombian health insurance system |
| title_full |
A note on risk-sharing mechanisms for the colombian health insurance system |
| title_fullStr |
A note on risk-sharing mechanisms for the colombian health insurance system |
| title_full_unstemmed |
A note on risk-sharing mechanisms for the colombian health insurance system |
| title_sort |
A note on risk-sharing mechanisms for the colombian health insurance system |
| dc.creator.fl_str_mv |
Riascos Villegas, Álvaro José Camelo Gómez, Sergio Armando |
| dc.contributor.author.none.fl_str_mv |
Riascos Villegas, Álvaro José Camelo Gómez, Sergio Armando |
| dc.subject.keyword.none.fl_str_mv |
Risk adjustment Risk selection Efficiency |
| topic |
Risk adjustment Risk selection Efficiency Seguros de salud - Colombia - Evaluación Evaluación de riesgos Evaluación de riesgos contra la salud - Colombia I11, I13, I18, C45, C55 |
| dc.subject.armarc.none.fl_str_mv |
Seguros de salud - Colombia - Evaluación Evaluación de riesgos Evaluación de riesgos contra la salud - Colombia |
| dc.subject.jel.none.fl_str_mv |
I11, I13, I18, C45, C55 |
| description |
We evaluate, in terms of efficiency and selection incentives, four different ex post risk sharing mecha-nisms. Outlier risk sharing (ORS), proportional risk sharing (PRS), risk sharing for high costs (RSHC)and risk sharing for high risks. Our results suggest that the best mechanism in terms of their impliedefficiency selection trade off are, risk sharing for high costs and risk sharing for high risks. In general,outlier risk sharing has a poor performance. Our results are robust with respect to different scenariosfor ex ante risk adjustment or incentives for efficiency and selection based on expected or realized costs.We believe that the most realistic scenario analysed is one in which insurance companies use expectedreimbursements and costs as their best source of information (signal) to decide on efficiency and selectiontrade-offs. In this case, we found that risk sharing of high risks dominates all other mechanisms. |
| publishDate |
2017 |
| dc.date.issued.none.fl_str_mv |
2017 |
| dc.date.accessioned.none.fl_str_mv |
2018-09-27T16:56:18Z |
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2018-09-27T16:56:18Z |
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Documento de trabajo |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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info:eu-repo/semantics/workingPaper |
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http://purl.org/coar/resource_type/c_8042 |
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Text |
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https://purl.org/redcol/resource_type/WP |
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http://purl.org/coar/resource_type/c_8042 |
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1657-5334 |
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http://hdl.handle.net/1992/8718 |
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1657-7191 |
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10.57784/1992/8718 |
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instname:Universidad de los Andes |
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reponame:Repositorio Institucional Séneca |
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1657-5334 1657-7191 10.57784/1992/8718 instname:Universidad de los Andes reponame:Repositorio Institucional Séneca repourl:https://repositorio.uniandes.edu.co/ |
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http://hdl.handle.net/1992/8718 |
| dc.language.iso.none.fl_str_mv |
eng |
| language |
eng |
| dc.relation.ispartofseries.none.fl_str_mv |
Documentos CEDE No. 30 Abril de 2017 |
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https://ideas.repec.org/p/col/000089/015604.html |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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14 páginas |
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application/pdf |
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Universidad de los Andes, Facultad de Economía, CEDE |
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Universidad de los Andes, Facultad de Economía, CEDE |
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Universidad de los Andes |
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Al consultar y hacer uso de este recurso, está aceptando las condiciones de uso establecidas por los autores.http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Riascos Villegas, Álvaro José10110600Camelo Gómez, Sergio Armandoca3655e6-c679-44e5-a9b4-b255a1f774ce6002018-09-27T16:56:18Z2018-09-27T16:56:18Z20171657-5334http://hdl.handle.net/1992/87181657-719110.57784/1992/8718instname:Universidad de los Andesreponame:Repositorio Institucional Sénecarepourl:https://repositorio.uniandes.edu.co/We evaluate, in terms of efficiency and selection incentives, four different ex post risk sharing mecha-nisms. Outlier risk sharing (ORS), proportional risk sharing (PRS), risk sharing for high costs (RSHC)and risk sharing for high risks. Our results suggest that the best mechanism in terms of their impliedefficiency selection trade off are, risk sharing for high costs and risk sharing for high risks. In general,outlier risk sharing has a poor performance. Our results are robust with respect to different scenariosfor ex ante risk adjustment or incentives for efficiency and selection based on expected or realized costs.We believe that the most realistic scenario analysed is one in which insurance companies use expectedreimbursements and costs as their best source of information (signal) to decide on efficiency and selectiontrade-offs. In this case, we found that risk sharing of high risks dominates all other mechanisms.En este trabajo evaluamos, en términos de eficiencia y selección de riesgos, cuatro mecanismos de ajuste de riesgo compartido. Riesgo compartido de costos atípicos, riesgo compartido proporcional, riesgos compartidos de costos altos y riesgos compartidos de riesgos altos. Nuestros resultados sugieren que los mejores mecanismos en términos de los incentivos que generan a la eficiencia y selección de riesgos, son los mecanismos de riesgos compartidos de costos altos y riesgos compartidos de riesgos altos. En general, el mecanismo de riesgos compartidos de costos atípicos tiene el peor desempeño. Nuestros resultados son robustos a diferentes formas de pago ex ante o, incentivos estimados utilizando los costos y beneficios esperados de las aseguradoras. El caso más realista que consideramos es uno en el que las aseguradoras basan sus acciones en los reembolsos y costos esperados como su mejor fuente de información para ponderar sus incentivos a la eficiencia y selección. En este caso encontramos que el mecanismo de riesgo compartidos de los más riesgosos domina a todos lo demás mecanismos.14 páginasapplication/pdfengUniversidad de los Andes, Facultad de Economía, CEDEDocumentos CEDE No. 30 Abril de 2017https://ideas.repec.org/p/col/000089/015604.htmlA note on risk-sharing mechanisms for the colombian health insurance systemUna nota sobre mecanismos de riesgo compartido en el sistema de aseguramiento de salud en ColombiaDocumento de trabajoinfo:eu-repo/semantics/workingPaperhttp://purl.org/coar/resource_type/c_8042http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttps://purl.org/redcol/resource_type/WPRisk adjustmentRisk selectionEfficiencySeguros de salud - Colombia - EvaluaciónEvaluación de riesgosEvaluación de riesgos contra la salud - ColombiaI11, I13, I18, C45, C55Facultad de EconomíaPublicationTHUMBNAILdcede2017-30.pdf.jpgdcede2017-30.pdf.jpgIM Thumbnailimage/jpeg10435https://repositorio.uniandes.edu.co/bitstreams/ccaa66ac-c5cf-4239-8970-c1ed6c3bfcbd/download75d0b2262cbf7815614eee19fbbd3df8MD55TEXTdcede2017-30.pdf.txtdcede2017-30.pdf.txtExtracted texttext/plain34078https://repositorio.uniandes.edu.co/bitstreams/6b16950d-5481-4529-b184-8beb6db692ef/download65cb3d8e9d720dccfe71a8a95441fc47MD54ORIGINALdcede2017-30.pdfdcede2017-30.pdfapplication/pdf498728https://repositorio.uniandes.edu.co/bitstreams/14a78018-8856-4b07-a3b0-c98bce3c25c2/download1e6ada1a07f71a104682eda9bdb02c5dMD511992/8718oai:repositorio.uniandes.edu.co:1992/87182024-06-04 15:46:14.286http://creativecommons.org/licenses/by-nc-nd/4.0/open.accesshttps://repositorio.uniandes.edu.coRepositorio institucional Sénecaadminrepositorio@uniandes.edu.co |