Tha Pharmacy-based Cost Group Model: Application in the Czech Health Care System
|Author:||Mgr. Tereza Hajíčková|
|Year:||2015 - summer|
|Leaders:|| PhDr. Jana Votápková Ph.D.
|Work type:|| Finance, Financial Markets and Banking
|Awards and prizes:|
|Abstract:||The risk adjustment model currently used does not adequately compensate
insurers for predictable differences in individuals’ health care expenditures in
the Czech Republic. It then leads to financial inequality in the redistribution
of funds to the insurance companies and causes their financial problems.
This study introduces a PCG model as another method for risk adjustment
and determines to what extent the predictive performance of the model can
be improved when applied to Czech data. We analyze 10% of population
sample in the Czech Republic in years 2011 and 2012. Our results confirm
the appropriateness of the PCG model for the Czech environment. When
the PCG variables are added to the demographic model, R2 value of the
prediction model increases from 2.03% to 13.87%.