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Trujillo, Antonio J.; McCalla, Dawn C. – Journal of Policy Analysis and Management, 2004
One of the primary objectives of Colombian social health insurance reform was to increase competition among for-profit insurers. Unfortunately, the flat capitated formula creates an opportunity for sickness funds to maximize reimbursement gains by "cream skimming"--selecting against unhealthy individuals. This paper explores sickness…
Descriptors: Public Policy, Diseases, Competition, Health Insurance