Providing warranties for healthcare is a quality and cost-effective healthcare delivery model. Under a healthcare warranty, the patient is charged a lump-sum payment for the healthcare services administered during a prespecified period regardless of the actual cost incurred by the healthcare provider. Notably, such a fixed-price healthcare delivery model increases the risks of profit maximization among healthcare providers, thereby making pricing decisions crucial. In this paper, we establish an integration model to derive an optimal price and healthcare warranty strategy composed of periodic follow-up for patients with chronic diseases considering patient heterogeneity. This paper introduces the intensity reduction model to capture the effect of follow-up checkups on patients’ risk of developing complications, and accounts for the effect of patients’ learning effects on the risk of complications during the planning horizon. The model allows healthcare providers to make optimal pricing and follow-up decisions under different factors, including follow-up effects, patients’ learning ability, and cost parameters. A case study of diabetes is presented to illustrate the application of the proposed model and analyze the impacts of significant parameters on the optimal solutions. The model and findings form the basis in making decisions for the healthcare warranty pricing of chronic diseases.

为医疗保健提供保修是一种优质且具有成本效益的医疗保健交付模式。根据医疗保健保证，无论医疗保健提供者产生的实际成本如何，患者在预定期间内管理的医疗保健服务均需一次性支付。值得注意的是，这种固定价格的医疗保健服务模式增加了医疗保健提供者利润最大化的风险，从而使定价决策变得至关重要。在本文中，我们建立了一个集成模型，以得出由慢性病患者的定期随访组成的最佳价格和医疗保健保修策略，并考虑患者的异质性。本文介绍了强度降低模型来捕捉随访检查对患者发生并发症风险的影响，并说明患者的学习效果对计划期间并发症风险的影响。该模型允许医疗保健提供者在不同的因素下做出最优的定价和随访决策，包括随访效果、患者的学习能力和成本参数。提出了一个糖尿病案例研究来说明所提出模型的应用，并分析重要参数对最佳解决方案的影响。该模型和研究结果构成了制定慢性病医疗保健保修定价决策的基础。提出了一个糖尿病案例研究来说明所提出模型的应用，并分析重要参数对最佳解决方案的影响。该模型和研究结果构成了制定慢性病医疗保健保修定价决策的基础。提出了一个糖尿病案例研究来说明所提出模型的应用，并分析重要参数对最佳解决方案的影响。该模型和研究结果构成了制定慢性病医疗保健保修定价决策的基础。