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Optimal quality reporting in markets for health plans

机译:卫生计划市场中的最佳质量报告

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Quality reports about health plans and providers are becoming more prevalent in health care markets. This paper casts the decision about what information to report to consumers about health plans as a policy decision. In a market with adverse selection, complete information about quality leads to inefficient outcomes. In a Rothschild-Stiglitz model, we show that averaging quality information into a summary report can enforce pooling in health insurance, and by choice of the right weights in the averaged report, a payer or regulator can induce first-best quality choices. The optimal quality report is as powerful as optimal risk adjustment in correcting adverse selection inefficiencies.
机译:有关保健计划和提供者的质量报告在保健市场上越来越普遍。本文决定将有关健康计划的哪些信息报告给消费者作为政策决定。在选择不利的市场中,关于质量的完整信息会导致无效的结果。在罗斯柴尔德-斯蒂格利茨(Rothschild-Stiglitz)模型中,我们证明了将质量信息平均化为摘要报告可以加强健康保险中的汇总,并且通过在平均报告中选择合适的权重,付款人或监管机构可以得出最佳质量选择。最佳质量报告在纠正逆向选择效率低下方面与最佳风险调整一样强大。

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