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Published in: The European Journal of Health Economics 3/2009

01-07-2009 | Original Paper

Hybrid risk adjustment for pharmaceutical benefits

Authors: Manuel García-Goñi, Pere Ibern, José María Inoriza

Published in: The European Journal of Health Economics | Issue 3/2009

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Abstract

This paper analyses the application of hybrid risk adjustment versus either prospective or concurrent risk adjustment formulae in the context of funding pharmaceutical benefits for the population of an integrated healthcare delivery organisation in Catalonia during years 2002 and 2003. We apply a mixed formula and find that, compared to prospective only models, a hybrid risk adjustment model increases incentives for efficiency in the provision for low risk individuals in health organisations, not only as a whole but also within each internal department, by reducing within-group variation of drug expenditures.
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Metadata
Title
Hybrid risk adjustment for pharmaceutical benefits
Authors
Manuel García-Goñi
Pere Ibern
José María Inoriza
Publication date
01-07-2009
Publisher
Springer-Verlag
Published in
The European Journal of Health Economics / Issue 3/2009
Print ISSN: 1618-7598
Electronic ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-008-0133-2

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