Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets

Thomas McGuire is a Professor of Health Economics in the Department of Health Care Policy at Harvard Medical School and a Research Associate at the National Bureau of Economic Research. His research focuses on the design and impact of health care payment systems, the economics of health care disparities, and the economics of mental health policy and drug regulation and payment. McGuire has contributed to the theory of physician, hospital, and health plan payment. McGuire was a co-editor of the Handbook of Health Economics Volume 2 (2012) and recently completed ten years as an editor of the Journal of Health Economics. Richard van Kleef works as an Associate Professor at the Erasmus School of Health Policy and Management of the Erasmus University Rotterdam. His research and teaching focus on economic aspects of health insurance and health care markets. Specific areas of expertise are health plan payment and consumer cost sharing. Van Kleef has published his research in national and international journals including the Journal of Health Economics, The European Journal of Health Economics, Medical Care, Health Affairs and Health Policy. Richard is currently chairman of the Dutch/Flemish Health Economics Association and a member of the Risk Adjustment Network (RAN).

• 1. Regulated Competition in Health Insurance Markets: Paradigms and Ongoing Issues2. Premium Regulation, Risk Equalization, Risk Sharing, and Subsidies: Effects on Affordability and Efficiency3. Risk Adjustment for Health Plan Payment4. Risk Sharing5. Evaluating the Performance of Health Plan Payment Systems6. Health Plan Payment in Australia7. Risk Adjustment in Belgium: Why and How to Introduce Socioeconomic Variables in Health Plan Payment8. Health Plan Payment in Chile9. Health Insurance and Payment System Reform in China10. Health Plan Payment in Colombia11. Health Plan Payment in Germany12. Health Plan Payment in Ireland13. Regulated Competition and Health Plan Payment Under the National Health Insurance Law in Israel—The Unfinished Story14. Health Plan Payment in the Netherlands15. Health Plan Payment in the Russian Federation16. Health Plan Payment in Switzerland17. Health Plan Payment in US Marketplaces: Regulated Competition With a Weak Mandate18. Health Plan Payment in Medicaid Managed Care: A Hybrid Model of Regulated Competition19. Medicare Advantage: Regulated Competition in the Shadow of a Public Option