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Pages 121-125

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From page 121...
... Anticipated increased price and quality/intensity of care Higher None Higher Higher Price Higher Price Ambiguousa within a service that BLS prices like a doctor's visit, hip replacement, stent, etc. Unanticipated increased utilization (more surgeries, more None Lower None None Lower Price None tests, etc.)
From page 122...
... This can be seen by noting that prices do not appear in the comparison between direct and indirect methods (see Appendix 5B)
From page 123...
... But the effect would be smaller than under the current implementation, when not only are retained earnings low, but also retained earnings per unit of health care is particularly low. Scope and Compositional Effects The direct method prices particular health insurance policies for a fixed pool of insured people -- that is, BLS asks the insurance company for the price of health insurance for a set of workers (50-year-old smoker, 30-year-old married woman, etc.)
From page 124...
... , retained earnings from large employers' commercial health insurance plans could be useful as a proxy. 15 Some important changes are not well accounted for, however, including changes in the choice of health care providers who are in network.
From page 125...
... Timeliness One disadvantage of the indirect method is that retained earnings are only measurable after the fact. That is, when an insurance company sells a policy, the company does not know what its retained earnings (premiums less benefits)


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