Diagnoses-based cost groups in the Dutch risk-equalization model: The effects of including outpatient diagnoses

The Dutch basic health-insurance scheme for curative care includes a risk equalization model (RE-model) to compensate competing health insurers for the predictable high costs of people in poor health. Since 2004, this RE-model includes the so-called Diagnoses-based Cost Groups (DCGs) as a risk adjuster. Until 2013, these DCGs have been mainly based on diagnoses from inpatient hospital treatment.

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Year of publication:	2014
Authors:	van Kleef, R.C. ; van Vliet, R.C.J.A. ; van Rooijen, E.M.
Published in:	Health Policy. - Elsevier, ISSN 0168-8510. - Vol. 115.2014, 1, p. 52-59
Publisher:	Elsevier
Subject:	Health insurance \| Risk equalization \| Hospital diagnoses \| Claims data \| Survey data

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Type of publication:	Article
Source:	RePEc - Research Papers in Economics

Persistent link: https://www.econbiz.de/10010743957