Can big data cure risk selection in healthcare capitation program? A game theoretical analysis

Can big data cure risk selection in healthcare capitation program? A game theoretical analysis

Problem definition: This paper analyzes a market design problem in Medicare Advantage (MA), the largest risk-adjusted capitation payment program in the U.S. healthcare market. Evidence exists that the current MA capitation payment program unintentionally incentivizes health plans to cherry pick prof...

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Bibliographic Details
Main Authors: SHE, Zhaowei, AYER, Turgay, MONTANERA, Daniel
Format: text
Language:English
Published: Institutional Knowledge at Singapore Management University 2022
Subjects:
capitation payment models
risk adjustment
medicare advantage
game theoretic modeling
healthcare market design
big data
Health Information Technology
Operations and Supply Chain Management
Online Access:https://ink.library.smu.edu.sg/lkcsb_research/7086
https://ink.library.smu.edu.sg/context/lkcsb_research/article/8085/viewcontent/SSRN_id3556992.pdf
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Institution: Singapore Management University
Language: English

Internet

https://ink.library.smu.edu.sg/lkcsb_research/7086
https://ink.library.smu.edu.sg/context/lkcsb_research/article/8085/viewcontent/SSRN_id3556992.pdf

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