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Insurance aspects of DRG outlier payments

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  • Keeler, Emmett B.
  • Carter, Grace M.
  • Trude, Sally

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  • Keeler, Emmett B. & Carter, Grace M. & Trude, Sally, 1988. "Insurance aspects of DRG outlier payments," Journal of Health Economics, Elsevier, vol. 7(3), pages 193-214, September.
    • Handle: RePEc:eee:jhecon:v:7:y:1988:i:3:p:193-214
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    Citations

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    Cited by:

    1. Michel Mougeot & Florence Naegelen, 2009. "Adverse Selection, Moral Hazard, and Outlier Payment Policy," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 76(1), pages 177-195, March.
    2. Mougeot, Michel & Naegelen, Florence, 2008. "Supply-side risk adjustment and outlier payment policy," Journal of Health Economics, Elsevier, vol. 27(5), pages 1196-1200, September.
    3. Manuel García-Goñi & Pere Ibern & José María Inoriza, 2009. "Hybrid risk adjustment for pharmaceutical benefits," Working Papers, Research Center on Health and Economics 1139, Department of Economics and Business, Universitat Pompeu Fabra.
    4. Michel Mougeot & Florence Naegelen, 2008. "Swiss DRGs: Patient Heterogeneity and Hospital Payments," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), vol. 144(III), pages 309-322, September.
    5. Manuel García-Goñi & Pere Ibern & José Inoriza, 2009. "Hybrid risk adjustment for pharmaceutical benefits," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 10(3), pages 299-308, July.
    6. Maqbool Dada & William D. White, 1999. "Evaluating Financial Risk in the Medicare Prospective Payment System," Management Science, INFORMS, vol. 45(3), pages 316-329, March.
    7. Andrew Street & Kirsi Vitikainen & Afsaneh Bjorvatn & Anne Hvenegaard, 2007. "Introducing activity-based financing: a review of experience in Australia, Denmark, Norway and Sweden," Working Papers 030cherp, Centre for Health Economics, University of York.
    8. Cots, Francesc & Mercade, Lluc & Castells, Xavier & Salvador, Xavier, 2004. "Relationship between hospital structural level and length of stay outliers: Implications for hospital payment systems," Health Policy, Elsevier, vol. 68(2), pages 159-168, May.
    9. Stefan Felder, 2009. "The variance of length of stay and the optimal DRG outlier payments," International Journal of Health Economics and Management, Springer, vol. 9(3), pages 279-289, September.

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