A critical review of the use of R2 in risk equalization research

被引:0
|
作者
van de Ven, Wynand P. M. M. [1 ]
van Kleef, Richard C. [1 ]
机构
[1] Erasmus Univ, Erasmus Ctr Hlth Econ Rotterdam EsCHER, Rotterdam, Netherlands
关键词
R-2; Risk equalization; Health insurance; Mean absolute prediction error (MAPE); Cumming's prediction measure (CPM); Payment system fit (PSF); PLAN PAYMENT SYSTEMS; HEALTH-INSURANCE; ADJUSTMENT; CARE; FIT; RETRANSFORMATION; EFFICIENCY; SELECTION; POWER; CAPITATION;
D O I
10.1007/s10198-024-01709-8
中图分类号
F [经济];
学科分类号
02 ;
摘要
Nearly all empirical studies that estimate the coefficients of a risk equalization formula present the value of the statistical measure R-2. The R-2-value is often (implicitly) interpreted as a measure of the extent to which the risk equalization payments remove the regulation-induced predictable profits and losses on the insured, with a higher R-2-value indicating a better performance. In many cases, however, we do not know whether a model with R-2 = 0.30 reduces the predictable profits and losses more than a model with R-2 = 0.20. In this paper we argue that in the context of risk equalization R-2 is hard to interpret as a measure of selection incentives, can lead to wrong and misleading conclusions when used as a measure of selection incentives, and is therefore not useful for measuring selection incentives. The same is true for related statistical measures such as the Mean Absolute Prediction Error (MAPE), Cumming's Prediction Measure (CPM) and the Payment System Fit (PSF). There are some exceptions where the R-2 can be useful. Our recommendation is to either present the R-2 with a clear, valid, and relevant interpretation or not to present the R-2. The same holds for the related statistical measures MAPE, CPM and PSF.
引用
收藏
页码:363 / 375
页数:13
相关论文
共 50 条
  • [1] PHENOMENA OF CRITICAL EXPONENT IN R2
    ADIMURTHI
    SRIKANTH, PN
    YADAVA, SL
    PROCEEDINGS OF THE ROYAL SOCIETY OF EDINBURGH SECTION A-MATHEMATICS, 1991, 119 : 19 - 25
  • [2] Critical collapse for the Starobinsky R2 model
    Rodriguez Baez, Yolbeiker
    JOURNAL OF HIGH ENERGY PHYSICS, 2023, 2023 (05)
  • [3] R2 and Idiosyncratic Risk Are Not Interchangeable
    Li, Bin
    Rajgopal, Shivaram
    Venkatachalam, Mohan
    ACCOUNTING REVIEW, 2014, 89 (06): : 2261 - 2295
  • [4] Critical collapse for the Starobinsky R2 model
    Yolbeiker Rodríguez Baez
    Journal of High Energy Physics, 2023
  • [5] On a nonlinear elliptic problem with critical potential in R2
    Shen, YT
    Yao, YX
    Chen, ZH
    SCIENCE IN CHINA SERIES A-MATHEMATICS, 2004, 47 (05): : 741 - 755
  • [6] On a nonlinear elliptic problem with critical potential in R2
    SHEN Yaotian
    Science China Mathematics, 2004, (05) : 741 - 755
  • [7] New solutions for critical Neumann problems in R2
    Deng, Shengbing
    Musso, Monica
    ADVANCES IN NONLINEAR ANALYSIS, 2019, 8 (01) : 615 - 644
  • [8] ON THE USE OF R2 IN REGRESSION-ANALYSIS
    HELLAND, IS
    BIOMETRICS, 1985, 41 (04) : 1087 - 1087
  • [9] THE USE OF R2 AS A MEASURE OF GOODNESS OF FIT
    HEALY, MJR
    JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES A-STATISTICS IN SOCIETY, 1984, 147 : 608 - 609
  • [10] CRITICAL PROPERTIES OF THE 2-DIMENSIONAL GRAVITY WITH THE R2 ACTION
    JURKIEWICZ, J
    TABOR, Z
    ACTA PHYSICA POLONICA B, 1994, 25 (07): : 1087 - 1097