adverse selection

(redirected from Anti-Selection)
Also found in: Dictionary, Financial, Wikipedia.

Adverse Selection

Clinical genetics An event in which an insurer avoids underwriting a person whose genetic profile indicates a high chance of suffering an "expensive" condition in the future—e.g., Huntington’s disease (Armed with such information, an insurance carrier may deny coverage—i.e., adversely select—a person with a high risk of suffering the disease in question; alternatively, that person may take out a large insurance policy on standard terms).
Health insurance The tendency of those with greater-than-average health risks to apply for, or maintain, insurance coverage.
Managed Care
(1) A stance adopted by health care insurers, which fiercely compete among themselves to insure the healthiest and wealthiest segment of a particular population, and thus adversely select the population which they target for selling insurance policies.
(2) The selection of a health plan, whether indemnity or managed care, over other plans by those enrollees who are more likely to file claims and use services, causing an inequitable proportion of enrollees requiring more medical services in that plan.

adverse selection

Managed care
1. A stance adopted by health care insurers, which fiercely compete among themselves to insure the healthiest and wealthiest segment of a particular population, and thus adversely select the population which they target for selling insurance policies. See 'Safety net' hospital.
2. A health plan, whether indemnity or managed care, is selected over other plans by enrollees who are more likely to file claims and use services, causing an inequitable proportion of enrollees requiring more medical services in that plan.

adverse selection

The enrollment in a health plan of those who are sicker or use more health care services than the general population.
See also: selection

adverse selection,

n a statistical condition within a group when there is a greater demand for dental services and/or more services necessary than the average expected for that group.
Mentioned in ?
References in periodicals archive ?
The primary concern is that allowing employees to choose from among multiple insurers' plans will exacerbate anti-selection risk.
Granting open enrollment when there is no material change in the benefit design may lead to anti-selection, Similarly, granting an open enrollment request on an in-force case with liberal guarantee issue terms can easily result in adverse experience.
His commitment to reinstate grammar schools that might be disbanded under controversial parental ballots will be a blow to anti-selection campaigners in Birmingham.
He was in an unenviable position, caught between the anti-selection instincts of old Labour and Tony Blair's need to reassure the middle classes that their treasured grammar schools would not be threatened.
Fitch is concerned about the potential negative impact of the proposed AHP legislation on existing individual and small group health insurers, which face potential risk pool deterioration due to anti-selection and a loss in membership due to the inability to match an AHP's reduced benefit products with lower price points.
But Tom Corcoran, a principal of Towers Perrin and a consultant in the firm's Tillinghast business, said insurers would have to work out potential anti-selection problems.
Last night, former deputy Labour leader Lord Hattersley of Sparkbrook called on Mr Blunkett to run an 'honest campaign' to abolish grammars and said he had not expected anti-selection supporters to be 'sabotaged' by the Government.
Vision's characteristics are very similar to dental-- it's a high frequency, low-severity product where anti-selection is the largest risk.
Looking forward, perhaps the two greatest risk issues facing LTC insurers are anti-selection and cognitive impairment.
The Electoral Reform Ballot Society yesterday validated 587 signatures on a petition for the vote collected by anti-selection campaigners in Ripon, North Yorkshire.