In several countries, morbidity burdens have prompted authorities to change the system for allocating resources among patients from a demographic-based to a morbidity-based casemix system. In Danish general practice clinics, there is no morbidity-based casemix adjustment system.

A health care provider chooses medical service quality and cost-reduction effort. Both choices are noncontractible. An insurer observes both quality and cost effort, and may credibly disclose them to consumers. In prospective payment, the insurer fully discloses care quality, and sets a...

This issue brief provides an assessment of the selected other services, inpatient (IP), and prescription drug (RX) encounter data for enrollees in comprehensive managed care during 2008. It summarizes the availability, completeness, quality, and usability of the encounter data for comprehensive...

Compliance with medication regimens among patients with chronic conditions in the U.S. and other developed countries averages only 50%. Numerous studies have attributed poor compliance to physicians’ failure to exhibit sufficient empathy with patients’ problems. Can financial incentives help...

This chartbook, prepared for the Centers for Medicare & Medicaid Services, presents highlights and key comparisons from the state-by-state and national tables in the statistical compendium on Medicaid pharmacy benefit use and reimbursement in 2007.