Risk adjustment in Switzerland

Détails

ID Serval
serval:BIB_B8C9838096AA
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Risk adjustment in Switzerland
Périodique
Health policy
Auteur(s)
Beck Konstantin, Spycher Stefan, Holly Alberto, Gardiol Lucien
ISSN
0168-8510
Statut éditorial
Publié
Date de publication
2003
Peer-reviewed
Oui
Volume
65
Numéro
1
Pages
63-74
Langue
anglais
Notes
Publication types: Journal Article - Publication Status: ppublish. - Article | Bibliothèque : CDSP DI Hospices/CHUV | Cote : PUB-ART-EDITO | N° 43722
Résumé
In Switzerland the new law on Health Insurance, effective since 1996, introduced pro competitive changes in the market of sickness funds. The legislator expected high mobility between sickness funds of both healthy and sick insured as open enrolment was introduced with the new law. That is why the risk adjustment scheme, that was already introduced 1993, was limited until 2005. However, consumer mobility remained low and risk selection strategies are still profitable, since risk-adjustment is based only on demographic variables. This paper describes risk adjustment, consumer mobility, risk selection activities of sickness funds and the impact of imperfect risk adjustment on the development of HMO and PPO models. The paper concludes with a description of the current political and scientific discussion in Switzerland.
Mots-clé
Capitation Fee, Consumer Participation, Cost Control, Efficiency, Organizational, Health Care Reform, Health Expenditures, Humans, Insurance Selection Bias, Managed Competition, Models, Econometric, National Health Programs, Risk Adjustment, Social Security, Switzerland
Pubmed
Web of science
Création de la notice
14/03/2008 10:19
Dernière modification de la notice
20/08/2019 15:26
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