Pellisé, LauraUniversidad Carlos III de Madrid. Departamento de Economía2009-05-042009-05-041996-122340-5031https://hdl.handle.net/10016/4109Besides the influence of international experiences, the existing debate about implementing managed competition in Spain is grounded on MUFACE. MUFACE is an experimental public1y funded health care system, restricted lO civil servants and their dependants, that meets all the conditions of managed competition among insurers. This article tries to offer an analysis of sorne aspects of MUFACE. It includes fIrstIy a fonnalization of the incentives (a capitation) imposed to insurers and their optimal behaviour. Secondly, it tries to assess the existence of risk selection and other equally "perverse" practices, like what we call service selection, in the presence of double insurance coverage.application/pdfengAtribución-NoComercial-SinDerivadas 3.0 EspañaHealth insurranceRisk selectionHealth care reformSpainReimbursementworking paperEconomíaopen access