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Die Wirkung Des Morbiditätsorientierten Risikostrukturausgleichs Auf Innovative Versorgungsformen Im Deutschen Gesundheitswesen
Paperback
Series: Gesundheits- Und Qualitätsmanagement
EconomicsManagementGeneral Law
ISBN13: 9783658079000
Publisher: Springer Gabler
Published: Nov 27 2014
Pages: 507
Weight: 1.53
Height: 1.19 Width: 5.83 Depth: 8.27
Language: German
Andreas Binder entwickelt eine gemeinsame Theorie der Versicherung und Risikoselektion für Krankenkassen und pauschal vergütete innovative Versorgungsformen. Darauf aufbauend stellt er die konkrete Gestaltung des Morbi-RSA und seines Reformkontextes dar und untersucht die resultierenden Anreizwirkungen. Es wird gezeigt, welche Wirkungen sich aus der Nutzung des Morbi-RSA zur Risikoadjustierung im Predictive Modeling, bei der Evaluation und bei der Pauschalvergütung innovativer Versorgungsformen ergeben. Die Ergebnisse münden in Vorschläge zur Weiterentwicklung innovativer Vergütungsstrukturen.
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