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50 at bats 95 mm Hg 95 percent AAPCC adding health status adverse selection alternative delivery system argument average batting average Beebe Buchanan and Cretin capita cost capitated rate capitated system cited in Lubitz collection costs community rating congestive heart failure county means current utilization Danzon detect selection difference disenrollees disenrollment e(it Eggers elderly estimate evidence example expected costs expected expenditure fee-for fee-for-service system Financing Review formula functional status HCFA Health Care Financing Health Economics Health Maintenance Organizations health status measures high risk HMO enrollees HMO enrollment hospital incentive effects institutional status issue jt(i marginal cost McClure medical expenditure Medicare beneficiaries Medicare Enrollees Medicare program Newhouse past utilization patients at high Pauly person predictable Prihoda prior and current prior utilization private business problem Prospective Payment System R-squared RAND Corporation reim reimbursement Riley risk of death sample selection behavior set of adjusters Spitznagel tion variables variance variation Welch