Computational health economics for identification of unprofitable health care enrollees

Computational health economics for identification of unprofitable health care enrollees

Health insurers may attempt to design their health plans to attract profitable enrollees while deterring unprofitable ones. Such insurers would not be delivering socially efficient levels of care by providing health plans that maximize societal benefit, but rather intentionally distorting plan benefits to avoid high-cost enrollees, potentially to the detriment of health and efficiency. In this ...

Health care use by Medicare's disabled enrollees

Three million persons under age 65 are entitled to Medicare because of disability. This study examines their Medicare use and mortality. Disabled enrollees had higher health care use and mortality than comparison groups of Medicare's aged enrollees or of the general population under age 65. One type of disabled enrollee, adults disabled as children (over one-half of whom are mentally retarded) ...

Health Economics and Aging

Objectives: In this paper, aging with its different dimensions is discussed. The characteristics of elderly's life in relation to individual, social, and changes meet aging together with attitudes toward it and major components of elderly are explained. Disease and burden of disease of aging as a central to the areas of Health and Health Economics will be emphasized. The influential factors on ...

Situating Care in Health Economics

Health Care and Behavioral Economics

It has been said that “goodness without knowledge is weak and feeble, yet knowledge without goodness is dangerous.”1 Peter Diamond is one of those extremely rare people who combine knowledge and goodness. Indeed—and I hope this doesn’t offend anyone in the room—Peter is probably the smartest person I know. In addition to that, he is simply a wonderful person and colleague. I am thrilled that th...