Medicare advantage, medical loss ratio, service efficiency, and efficiently positive health outcomes
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|---|---|---|---|
| LDR | 00000cab a2200000 4500 | ||
| 001 | MAP20230026175 | ||
| 003 | MAP | ||
| 005 | 20240104185518.0 | ||
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| 040 | $aMAP$bspa$dMAP | ||
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| 245 | 1 | 0 | $aMedicare advantage, medical loss ratio, service efficiency, and efficiently positive health outcomes $cPatrick Brockett...[et al.] |
| 520 | $aWithin the context of Medicare's enunciated triple aims of better health, better care, and lower costs, we examine the effectiveness of medical loss ratio (MLR) on health outcomes of Medicare Advantage insurers. We simultaneously examine the effect of an efficiency measure for the insurer performance: medical service utilization efficiency (an assessment of how efficiently an insurer provides medical services). Our results suggest that to enhance health improvement efficiency, medical service utilization efficiency should be incorporated as a cost-efficient regulatory and monitoring indicator when evaluating Medical Advantage insurers | ||
| 650 | 4 | $0MAPA20080590567$aEmpresas de seguros | |
| 650 | 4 | $0MAPA20080579258$aCálculo actuarial | |
| 650 | 4 | $0MAPA20080539771$aSalud | |
| 650 | 4 | $0MAPA20080548575$aPérdidas | |
| 650 | 4 | $0MAPA20120026414$aEficiencia operacional | |
| 650 | 4 | $0MAPA20080614041$aEvaluación de resultados | |
| 700 | 1 | $0MAPA20080260019$aBrockett, Patrick L. | |
| 773 | 0 | $wMAP20077000239$g04/12/2023 Tomo 27 Número 4 - 2023 , p. 493-507$x1092-0277$tNorth American actuarial journal$dSchaumburg : Society of Actuaries, 1997- | |
| 856 | 0 | 0 | $yMÁS INFORMACIÓN$u mailto:centrodocumentacion@fundacionmapfre.org?subject=Consulta%20de%20una%20publicaci%C3%B3n%20&body=Necesito%20m%C3%A1s%20informaci%C3%B3n%20sobre%20este%20documento%3A%20%0A%0A%5Banote%20aqu%C3%AD%20el%20titulo%20completo%20del%20documento%20del%20que%20desea%20informaci%C3%B3n%20y%20nos%20pondremos%20en%20contacto%20con%20usted%5D%20%0A%0AGracias%20%0A |
| 856 | 0 | 0 | $umailto:centrodocumentacion@fundacionmapfre.org?subject=Consulta%20de%20una%20publicaci%C3%B3n%20&body=Necesito%20m%C3%A1s%20informaci%C3%B3n%20sobre%20este%20documento%3A%20%0A%0A%5Banote%20aqu%C3%AD%20el%20titulo%20completo%20del%20documento%20del%20que%20desea%20informaci%C3%B3n%20y%20nos%20pondremos%20en%20contacto%20con%20usted%5D%20%0A%0AGracias%20%0A |