Optionen der Weiterentwicklung des Risikostrukturausgleichs in der GKV

摘要: The system of risk equalization payments among German Statutory Sickness Funds is currently under intensive political debate. While some participants claim that the enormous size are detrimental to effective competition funds, others argue there still funds which engage heavily in selection and thereby able keep their contribution rates low. In this paper major options for a modification current analyzed both theoretically empirically with respect capacity diminish spread rates, while preserving incentives an efficient delivery health care services. particular, we examine inclusion additional adjusters formula formation high-risk pool. data suggest it indeed possible improve without diminishing efficiency if "income" "marital status" included.