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Statements

Subject Item
n2:RIV%2F00216208%3A11230%2F10%3A10021477%21RIV11-GA0-11230___
rdf:type
n11:Vysledek skos:Concept
dcterms:description
This paper analyses possible options how to improve the risk adjustment of the health insurance system in the Czech Republic. Out of possible options it argues for including Pharmaceutical Cost Groups (PCGs) as additional risk factors since it is an improvement that can be implemented almost instantaneously. On real data from an anonymous sickness fund it confirms that predictive performance of PCGs models is consistently better than the performance of the demographic model that is currently used. The study also describes and examines the Czech health insurance market and implications of proposed changes of policy makers. Based on experience from other countries we point to a problem of risk selection if the changes are not accompanies by a tighter regulation, specifically in the form of improved risk adjustment formula. This paper analyses possible options how to improve the risk adjustment of the health insurance system in the Czech Republic. Out of possible options it argues for including Pharmaceutical Cost Groups (PCGs) as additional risk factors since it is an improvement that can be implemented almost instantaneously. On real data from an anonymous sickness fund it confirms that predictive performance of PCGs models is consistently better than the performance of the demographic model that is currently used. The study also describes and examines the Czech health insurance market and implications of proposed changes of policy makers. Based on experience from other countries we point to a problem of risk selection if the changes are not accompanies by a tighter regulation, specifically in the form of improved risk adjustment formula.
dcterms:title
Improving risk adjustment in the Czech Republic Improving risk adjustment in the Czech Republic
skos:prefLabel
Improving risk adjustment in the Czech Republic Improving risk adjustment in the Czech Republic
skos:notation
RIV/00216208:11230/10:10021477!RIV11-GA0-11230___
n3:aktivita
n12:P
n3:aktivity
P(GA402/08/0501)
n3:cisloPeriodika
3
n3:dodaniDat
n13:2011
n3:domaciTvurceVysledku
n8:7913796
n3:druhVysledku
n7:J
n3:duvernostUdaju
n16:S
n3:entitaPredkladatele
n9:predkladatel
n3:idSjednocenehoVysledku
263220
n3:idVysledku
RIV/00216208:11230/10:10021477
n3:jazykVysledku
n17:eng
n3:klicovaSlova
Czech Republic; Pharmaceutical Cost Groups; Health insurance; Risk adjustment
n3:klicoveSlovo
n6:Czech%20Republic n6:Health%20insurance n6:Pharmaceutical%20Cost%20Groups n6:Risk%20adjustment
n3:kodStatuVydavatele
CZ - Česká republika
n3:kontrolniKodProRIV
[9E19DC1CF300]
n3:nazevZdroje
Prague Economic Papers
n3:obor
n4:AH
n3:pocetDomacichTvurcuVysledku
1
n3:pocetTvurcuVysledku
1
n3:projekt
n15:GA402%2F08%2F0501
n3:rokUplatneniVysledku
n13:2010
n3:svazekPeriodika
2010
n3:tvurceVysledku
Chalupka, Radovan
s:issn
1210-0455
s:numberOfPages
15
n18:organizacniJednotka
11230