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Cutler and Reber (1998) used Harvard insurance change experience to study the real-life death spiral for adverse selection. Please describe the Harvard experience, focusing on

Cutler and Reber (1998) used Harvard insurance change experience to study the real-life death spiral for adverse selection. Please describe the Harvard experience, focusing on enrollment changes in PPO and HMO respectively from 1994 to 1996, to explain the adverse selection death spiral.Please explain.

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