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Table 3 Mean (predicted) spending in euros under risk equalization without a high-risk pool, the threshold for compensation and the percentage of total costs needed to finance the high-risk pool for five different pool sizes (i.e., top-1% to top-5% of predicted residual spending)

From: High-risk pooling for mitigating risk selection incentives in health insurance markets with sophisticated risk equalization: an application based on health survey information

 

High-risk pools based on predicted residual spending from the random forest model

Top 1%

Top 2%

Top 3%

Top 4%

Top 5%

Mean spending

12,730

10,826

10,097

9571

9280

Mean spending predicted by the risk-equalization model

10,371

9320

8755

8440

8194

Threshold

12,961

18,066

20,408

23,706

23,807

HRP financing costs as percentage of total spending in test sample

0.96%

1.2%

1.6%

1.8%

2.2%

  1. Note: all spending is in euros. Results are based on test sample (N = 115,473)