Optimal medical investment and insurance system: revenues, costs and benefits
by Chunyuan Chen, Zih-Yan Lin, Ya-Chiao Hsieh
International Journal of Revenue Management (IJRM), Vol. 2, No. 1, 2008

Abstract: This paper analyses the optimal choice of medical investment and design of health insurance system in an interactive medical context with the utility maximising patient, the net-revenue-maximising physician and the insurer pursuing the patient's benefits and a balance between revenues and costs. The feasibility of cost reduction or benefit improving is addressed. With positive payments to the physician, cost reduction or benefit improving is obtainable through a reduction in the social loss by restraining over-investment in medical capital goods. A fully prospective payment system would be a cost-minimising payment system but not definitely a benefit-improving system.

Online publication date: Tue, 06-May-2008

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