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

• Main Authors: SHE, Zhaowei, AYER, Turgay, MONTANERA, Daniel
• 格式: text
• 語言: English
• 出版: Institutional Knowledge at Singapore Management University 2022
• 主題: capitation payment models; risk adjustment; medicare advantage; game theoretic modeling; healthcare market design; big data; Health Information Technology; Operations and Supply Chain Management
• 在線閱讀: https://ink.library.smu.edu.sg/lkcsb_research/7086; https://ink.library.smu.edu.sg/context/lkcsb_research/article/8085/viewcontent/SSRN_id3556992.pdf
• 機構: Singapore Management University

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...