(redirected from Cream Skimming)
(1) A popular term for the practice by insurers of selling policies to those who do not need them, then dropping those who are insured when they do need the policies
(2) A highly colloquial term for the acceptance of patients based solely on their ability to pay—i.e., with insurance or cash—while turning away the indigent or poor
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As the private share of school enrollment increases simple cream skimming becomes less plausible as the explanation for a higher rate of achievement in private schools.
Most generally, cream skimming says that the private school effect is a compositional illusion created by the way children are allocated to schools.
As majority of elite institutions are engaged in cream skimming without realising that they are promoting objectionable values and inequality in the society, he said.
They may also be provider driven, either resulting from cream skimming (i.
Cream skimming is only possible if patient outcomes that are publicly reported are not perfectly risk adjusted or if providers have superior information about patient risk than the risk adjustment used in public reporting.
He deprecates claims made by, among others, the Heritage Foundation, the Education Trust, KIPP Academies, Abigail and Stephan Thernstrom, and Jaime Escalante's biographers, insisting that the achievements don't amount to much or couldn't be replicated or that the schools engage in cream skimming.
We find in our survey that most of the evidence on the effects of performance systems relates to their failure to motivate behavior in the direction of increasing the mean impact of program participation, and their success at inducing cream skimming and strategic responses on the part of program operators.
To address the problems of adverse selection and cream skimming, some payers have been experimenting with various statistical approaches to "risk adjustment," with the goal being to level the proverbial "playing field.
The existence of asymmetrical information can lead to adverse selection and cream skimming.
In a related paper entitled "How Can We Prevent Cream Skimming in a Competitive Health Insurance Market?
He also accused majority of elite institutions, as being engaged in cream skimming without realizing that they were promoting objectionable values and inequality in the society.
This seems to suggest that having the additional diagnosis risk cells enables sickness funds to obtain higher profits from cream skimming relative to profits from persons grouped only by demographic variables.