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• Implementing Risk Adjusted Capitation Payments with Health Care Reforms in Hung

  147-160

  Balazs Nagy

  Agnes Brandtmüller

  Views:

  177

  Since the late nineties Hungarian governments have been considering the introduction of new health care arrangements by establishing organizations with devolved responsibilities for the management of health care. These organizations are typically financed through a weighted (risk adjusted) capitation system which is regarded as an adequate and optimal tool for resource allocation purposes. Through capitation one needs to handle large inequities in the Hungarian health care system and keep an eye on the incentives for efficiency. For the capitation formula a relatively broad choice of risk adjusters are available in the form of pharmacy- and diagnosis-based patient level utilization data (health-based adjusters) and area level socio-economic data (non health-based adjusters). The instant application of health-based adjusters has limitations because they reflect a distorted provider structure and offer perverse incentives; therefore a gradual shift from using non health-based adjusters to health-based adjusters is preferred. The early phase of the capitation system also implies a strong presence of risk sharing arrangements and other complementary policies. Given that promoting efficiency and equity are to be pursued, the capitation approach outlined in this paper should serve as a guide to future Hungarian health care system reforms.

  Journal of Economic Literature (JEL) code: I28, G28, G32, H51

• Reflections on the 100th anniversary of the birth of Sir J. R. Hicks (1904-1989)

  167-175

  Balazs Palosi-Nemeth

  Views:

  88

  Several major articles have been published recently reviewing or reconsidering the result of Nobel prize winning economists on the occasion of an anniversary. This study has the same objective. John Richard Hicks was born on April 8th 1904 in Leamington Spa, England. We commemorate his work from a peculiar perspective on the 100th anniversry of his birth. We focus on where the roots of the history of the "theory of finance" are to be from, what influence Hicks had on the pioneering work in this field, as well as how his results - with particular attention to the interpretation of risk - have been modified by succeeding generations.

• The option value of education

  131-148

  Judit T. Kiss

  Views:

  75

  Within the theoretical frameworks of standard human capital theory countless analyses have been carried out into investment decisions, in which the examination of the uncertainty of the costs and benefits of education were mostly disregarded and an assessment of the option opportunities was often omitted. In this essay we tried to review one of the extension opportunities of the theory of standard human capital and the option approach of human capital investment. We looked for an answer to the question of what kind of models have been developed for the interpretation of education as an option and for the determination of the option value of the investment. In the study we have highlighted the fact that a decrease in uncertainty in human capital investment is as good an incentive for investing in more education as the public subsidization of education.

  JEL classification: C6, D8, I2, J2

• Features of Knowledge Intensive Business Services from Innovation Aspects

  147-156

  Sandor Nagy

  Views:

  135

  Based on the innovation approach to services this paper defines knowledge intensive business services and gives an overview of their features from innovation perspectives. It finds that different service activities are related to innovation systems to varying extents. Compared to other sectors, services lack stimulative institutional and other formal support systems that may act not only as knowledge centres for companies but could also contribute to both the protection and spread of innovation. In contrast with production, the absence of an efficient protection of intellectual property indicates a significant risk in the service sector, and hinders optimal knowledge transfer and results in waste and duplication in innovation efforts.

  Journal of Economic Literature (JEL) Classification: O31, O32, L84