One of the most vexing issues faced by health insurance regulators is risk selection—when insurers try to attract healthier enrollees and avoid sicker ones. In a new Health Affairs article based on Commonwealth Fund–supported research, Wynand P. M. M. van de Ven and colleagues explain how European insurance exchanges—some of which have been in operation since the 1990s—have sought to curtail the practice.
Europe's Insurance Exchanges Offer Lessons on Combatting Risk Selection
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