Evidence map›Paper›PMID 30704337›Full record

ArticleMedical care research and review : MCRR2020

Selection Incentives for Health Insurers in the Presence of Sophisticated Risk Adjustment.

Richard C van Kleef, Frank Eijkenaar, René C J A van Vliet

Abstract read
In one paragraph

Article in Medical care research and review : MCRR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. A critical review of the use of RThe European journal of health economics : HEPAC : health economics in prevention and care · 2025
    Review
  3. Review
  4. Review
  5. Article
  6. The goal of risk equalization in regulated competitive health insurance markets.The European journal of health economics : HEPAC : health economics in prevention and care · 2023
    Article
  7. Article
  8. Article
  9. Review
  10. Incorporating self-reported health measures in risk equalization through constrained regression.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
    Article
  11. Global budget versus cost ceiling: a natural experiment in hospital payment reform in the Netherlands.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Richard C van KleefErasmus University Rotterdam, Rotterdam, Netherlands.ORCID 0000-0002-8971-6341
Frank EijkenaarErasmus University Rotterdam, Rotterdam, Netherlands.
René C J A van VlietErasmus University Rotterdam, Rotterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article analyzes selection incentives for insurers in the Dutch basic health insurance market, which operates with community-rated premiums and sophisticated risk adjustment. Selection incentives result from the interplay of three market characteristics: possible actions by insurers, consumer response to these actions, and predictable variation in profitability of insurance contracts. After a qualitative analysis of the first two characteristics our primary objective is to identify the third. Using a combination of claims data (

Indexed as

Insurance CarriersRisk AdjustmentAdultAgedFemaleHumansInsurance, HealthMaleMiddle AgedMotivationSurveys and QuestionnairesYoung Adulthealth insurancerisk adjustmentrisk equalizationrisk selection

Identifiers

PMID30704337
PMCPMC7536529

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.