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Predicting healthcare expenditure based on Adjusted Morbidity Groups to implement a needs-based capitation financing system.

Jorge-Eduardo Martínez-PérezJuan-Antonio Quesada-TorresEduardo Martínez-Gabaldón
Published in: Health economics review (2024)
AMG-based capitated budgeting could improve equity in healthcare financing across regions in Spain. By explicitly incorporating multimorbidity burden into allocation formulas, resources can be reallocated towards areas with poorer overall population health. Further policy analysis and adjustment is needed before full-scale implementation of such need-based global budgets.
Keyphrases
  • healthcare
  • primary care
  • health insurance