Risk Adjustment Network Conference

  • Lucerne, July 16th-18th 2012

http://www.riskadjustment.net/

Risk Adjustment Network Conference 16-18 July 2012 - Program

Monday 16 July 2012

Time

Program

Speakers

13:30

Welcome

Maria Trottmann

13:45- 14:45

15’ each

Country updates Part (1)

- Belgium
- Israel
- Switzerland
- The Netherlands

Chair: Jürgen

Erik Schokkaert Amir Shmueli Konstantin Beck Wynand van de Ven

Short Break

14:55- 15:40

15’ each

Country updates Part (2)

- Ireland
- Australia
- USA (Public Programs)

Chair: Konstantin

John Armstrong Francesco Paolucci Randall Ellis

Coffee Break

16:00 – 17:00

30’ each

Germany

- Experiences with the 2009 reform

- Evaluation of new proposals for reform

Chair: Wynand

Dirk Goepffarth

Jürgen Wasem
Discussant: Konstantin

Short Break

17:10 – 18:40

30’ each

Risk Adjustment Formulas:
Evaluation

- Incentives for Risk Selection in the Dutch Basic Health Insurance: Evaluating the Risk- Equalization Model Using
Survey Data from Seven Prior
Years

- How to measure risk selection in a competitive health insurance market?

- Evaluation of Risk Adjustment Formulas - A Project Status Report

Chair: Amir

Richard C. van Kleef
D: Sonja

Viktor von Wyl
D: Jürgen

Dirk Goepffarth
D: Randall

Tuesday 17 July 2012

Time

Program

Speakers

9:00 – 10:30

30’ each

Risk Adjustment Formulas: Design (1)

- Exploring the limits of risk equalization

- Diagnoses-based Cost Groups in Risk Adjustment: How to Deal with Inpatient and Outpatient Diagnoses?

- Clinical and socio-economic scales for risk-equalisation in Australia

Chair: Alberto

Suzanne van
Ween
D: Amir

Richard C. van
Kleef
D: Dirk

Renata Hasanova D: John

Coffee Break

11:00 – 12:00

Risk Adjustment Formulas: Design (2)

- Risk adjustment and cost savings

-Adjusting for Regional Variation in
Germany’s Risk Adjustment System

Chair: Dov

Konstantin
Beck
D: Erik

Florian Buchner, Dirk Goepffarth
D: Piet

Lunch

13:30 – 15:30

30’ each

Long Term Care

- Financing long-term care for the elderly and the potential role of managed competition and risk adjustment: an international comparison

- Financing LTC in Israel

- Risk Adjustment in Long Term Care - (Im)possible?

- Can risk adjustment prevent risk selection in a competitive long-term care insurance market?

Chair: Erik Schut

Pieter Bakx

Dov Chernikowsky D:Frank

Piet Stam
D: Francesco

Pieter Bakx
D: Maria

Coffee Break

16:00 – 17:00

30’ each

Primary Care

- Bending the Cost Curve? Results from a Comprehensive Primary Care Payment Pilot

- Provider Profiling in Primary Care: Does the Choice of Statistical Model Matter?

Chair: Richard

Randall Ellis
D: Wynand

Frank Eijkenaar D: Viktor

Short Break

17:10– 18:00

20’

30’

Managed Competition

- Preconditions for efficiency and affordability in competitive healthcare markets: are they fulfilled in Belgium, Germany, Israel, the Netherlands and Switzerland?

- Precondition paper on Australia and
Ireland

Chair: Francesco

Wynand van de Ven

John
Armstrong

18:30

Departure to Social Event and Dinner

Wednesday 18 July 2012

Time

Program (only for members of the RAN)

Speakers

9:00 – 9:30

Proposal for New RAN Project

Francesco
Paolucci / Amir
Shumeli

9:30 – 9:45

- Debate: 20 Years of regulated
competition in health insurance - What are the proven benefits for the consumer? (Is this a possible topic for a RAN project?)

Maria
Trottmann

9:45 – 11:15

Business Meeting
- Election of new chair
- Proposals for new members?
- Ongoing / new RAN projects

All members

Individual Transfer to Zurich for European Conference on Health Economics (ECHE)