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| Author: | Marchand, M. Sato, M. Schokkaert, E. |
| Title: | Prior health expenditures and risk sharing with insurers competing on quality |
| Journal: | RAND Journal of Economics
2003 : WINTER, VOL. 34:4, p. 647-669 |
| Index terms: | Competition Insurance Quality Risk sharing |
| Language: | eng |
| Abstract: | Insurers can exploit the heterogeneity within risk-adjustment classes to select the good risks because they have more information than the expected expenditures of individual insurees. To counteract this cream skimming, mixed systems combining capitation and cost-based payments have been adopted that do not, however, generally use the past expenditures of insurees as a risk adjuster. In this paper, two symmetric insurers compete for clients by differentiating the quality of service offered to them according to some private information about their risk. |
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