𝔖 Bobbio Scriptorium
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Reimbursing insurance carriers: The case of ‘muface’ in the spanish health care system

✍ Scribed by Laura Pellisé

Book ID
102847065
Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
871 KB
Volume
3
Category
Article
ISSN
1057-9230

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✦ Synopsis

Abstract

This article aims at contributing to the analysis of financial incentives in managed competition, on the basis of the literature on procurement and regulation under incomplete information. More specifically, we focus on MUFACE, the publicly funded health care system for Spanish civil servants and dependants. MUFACE makes up an internal market, where competing public and private insurers are reimbursed a flat capitation payment.

Some of our results are that theoretically, both pre‐contractual (adverse) selection of insurers contracted by MUFACE, and post‐contractual risk selection of enrollees undertaken by insurers, should occur under flat capitation.

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