OBJECTIVE This paper uses an economic model to compare three methods for stimulating quality improvement: payment incentives, competition for patients, and emphasis on professional ethics. DESIGN Use an economic model to simulate the impact on quality distortions (risk selection) of differences in payment incentives, competition for patients, and emphasis on professional ethics. SETTING Hea...

Faced with declining payment rates, California providers have implemented various strategies that have strengthened their leverage in negotiating prices with private health plans. When negotiating together, hospitals and physicians enhance their already significant bargaining clout. California’s experience is a cautionary tale for national health reform: It suggests that proposals to promote in...

Many of the recent proposals for health care reform have included a system of risk adjustment payments among health plans. The goal of these systems is to remove the financial incentives for health plans to selectively enroll only low-risk individuals and to adequately compensate plans for the risks they enroll. They do this by a two-step process: 1. Measuring the expected health care costs of ...

Background The Aceh Health Insurance (JKA) has been established since June 1, 2010. Presently, the provincial Government of Aceh faces difficulty in getting adequate budget to fund JKA program that tends to increase every year. In the year 2010, the second year of JKA implementation, the government was only able to allocate Rp. 382 billion from the total requirement of Rp. 482 billion. The figu...

background provincial health accounts (pha) as a subset of national health accounts (nha) present financial information for health sectors. it leads to a logical decision making for policy-makers in order to achieve health system goals, especially fair financial contribution (ffc). this study aimed to examine health accounts in kerman province.   methods the present analytical study was carried...

BACKGROUND China's health system reform launched in early 2000s has achieved better coverage of health insurance and significantly increased the use of healthcare for vast majority of Chinese population. This study was to examine changes in the structure of total health expenditures in China in 2000-2011, and to investigate the financial burden of healthcare placed on its population, particular...

In this paper, we consider the protocol which prevents the service provider from finding out which customer have bought what kind of contents by the unlinkability between the payment and user-profile information. Besides, we do not employ any kind of anonymous payment system causing more computation complexities and overheads to the network, and our approach can be easily applied into the curre...

Most developed countries are experiencing, or moving at full speed, to implement new forms of health delivery based in part on capitation arrangements and stronger accountability of health service providers. Proposals for introduction of capitation or managed care have been advanced in Australia but have attracted strong opposition from the medical profession. This paper reviews the policy issu...

So much of what is happening in health care today is eerily similar to what was happening in the mid1990s. If that period were a movie, we would have called it Capitation, and this current feature would be called Return of Capitation. At the end of the first, the dead monster’s eyes would begin to glow again faintly, letting the audience know that a sequel would be a real possibility. Now he’s ...