1994-12-01
Risk-adjusted capitation: Recent experiences in the Netherlands
Publication
Publication
Health Affairs: the policy journal of the health sphere , Volume 13 - Issue 5 p. 120- 136
The market-oriented health care reforms taking place in the Netherlands show a clear resemblance to the proposals for managed competition in U.S. health care. In both countries good risk adjustment mechanisms that prevent cream skimming--that is, that prevent plans from selecting the best health risks--are critical to the success of the reforms. In this paper we present an overview of the Dutch reforms and of our research concerning risk-adjusted capitation payments. Although we are optimistic about the technical possibilities for solving the problem of cream skimming, the implementation of good risk-adjusted capitation is a long-term challenge.
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| doi.org/10.1377/hlthaff.13.5.120, hdl.handle.net/1765/58752 | |
| Health Affairs: the policy journal of the health sphere | |
| Organisation | Erasmus School of Health Policy & Management (ESHPM) |
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van de Ven, W., van Vliet, R., van Barneveld, E., & Lamers, L. (1994). Risk-adjusted capitation: Recent experiences in the Netherlands. Health Affairs: the policy journal of the health sphere (Vol. 13, pp. 120–136). doi:10.1377/hlthaff.13.5.120 |
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