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Risk Adjustment

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  • Topic: Risk adjustment
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Insurance Discrimination On the Basis Of Health Status

January 1, 2009 | Report

This paper provides a brief overview of discrimination practices, the federal law and federal reform options to manage discriminatory practices in the insurance and employee health benefit markets.

Coping with Risk Segmentation

February 1, 2003 | Issue Brief

Risk segmentation and the consequent wide variation in premiums create at least two kinds of problems. First, some high-risk people are not able to afford coverage. Second, the wide premium spread requires some people to pay much more than others for identical coverage.

Health Insurance Exchanges

January 1, 2009 | Report

This paper analyzes whether Congress can legislate a health insurance mandate and the potential legal challenges that might arise, given such a mandate.

Health Risk Appraisals

September 1, 2009 | Journal Article

Risk appraisals might influence employees' health behavior, but they're not the entire answer. In this paper the authors explore the potential role of health risk appraisals as a tool for managing health care quality and costs in employer-sponsored insurance.

Risk-Adjustment Approach to Compensating Health Care Plans More Appropriately for Serving Chronically Ill People

January 1, 2003 | Program Result Report

From 1997 to 2001, researchers at the Institute for Health Policy Studies at the University of California, San Francisco, conducted a two-phase study to test the hypothesis that risk adjustment could be improved by removing patients with high-cost chronic conditions from the general risk pool and assessing their risk by analysis of detailed clinical information.

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