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Incentive Compatibility and Efficiency in the Contractual Insurer-Provider Relationship - Economic Theory and Practical Implications: The Case of North Carolina

URN to cite this document: urn:nbn:de:bvb:703-opus-4810

Title data

Schmid, Andreas:
Incentive Compatibility and Efficiency in the Contractual Insurer-Provider Relationship - Economic Theory and Practical Implications: The Case of North Carolina.
Bayreuth , 2007
(Master's, 2007, University of Bayreuth, Faculty of Law, Business and Economics)

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Abstract

The paper is concerned with the efficient organization of contractual relationships between health insurers and providers. An introduction to relevant aspects of contract theory is followed by their adaptation to the characteristics of the health care system. The focus lies on an ex ante alignment of incentive structures as well as on an efficient handling of conflicts of interest once a contract has been sealed (ex post). The theory based conclusions are contrasted with the situation in North Carolina, USA. Due to the implemented regulation, this state is well suited to serve as a reference. An excursus to the American health care system provides the reader with the necessary background. A discussion of results completes the paper.

Abstract in another language

Die Arbeit beschäftigt sich mit der optimalen Vertragsgestaltung zwischen Krankenversicherern und Leistungserbringern. Ausgehend von verschiedenen Aspekten der Vertragstheorie erfolgt eine Spezifikation auf die Besonderheiten des Gesundheitswesens. Der Fokus liegt einerseits auf einer Angleichung der Anreizstrukturen ex ante sowie andererseits auf einer effizienten Abwicklung von Interessenskonflikten nach Vertragsabschluss (ex post). Die theoriebasierten Folgerungen werden schließlich der Situation in North Carolina, USA, gegenübergestellt, welche sich durch die dort vorliegende Rahmenordnung als Referenzpunkt eignet. Ein Exkurs zum amerikanischen Gesundheitswesen vermittelt dem Leser den nötigen Hintergrund. Eine kritische Diskussion der Ergebnisse schließt die Arbeit ab.

Further data

Item Type: Master's, Magister, Diploma, or Admission thesis
Keywords: Krankenhaus; Krankenversicherung; Gesundheitswesen; Kontrakttheorie; USA; Neue Institutionenökonomik; Hospital; Insurer; Health Care System; Contract Theory; USA
DDC Subjects: 300 Social sciences > 330 Economics
Institutions of the University: Faculties > Faculty of Law, Business and Economics > Department of Business Administration
Faculties
Faculties > Faculty of Law, Business and Economics
Language: English
Originates at UBT: Yes
URN: urn:nbn:de:bvb:703-opus-4810
Date Deposited: 25 Apr 2014 11:20
Last Modified: 28 Apr 2014 09:14
URI: https://epub.uni-bayreuth.de/id/eprint/635

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