HEALTH SOLUTIONS
Actuarial consulting
This paper discusses the primary care redesign of seven US practices over the course of three years, including their reported utilisation and savings achievements.
In 2010, the UK government created the Commission on Funding of Care and Support “Dilnot Commission” to investigate options for a better, fairer way to pay for adult social care.
This document follows from the commitment of the EIOPA in its advice for Level 2 measures to revise the QIS5 calibrations of the premium and reserve risk factors in the underwriting risk module of the SCR standard formula.
Operational disruptions have direct impacts on a firm, its employees and its customers, and also have residual effects with the potential to disrupt the wider market.
Since the introduction of the new GDPR, individuals have more control over what companies can do with their personal data. The GDPR is applicable across the European Union, and UK companies should now be complying with the regulation.
Population health management (PHM) ensures that ways to improve health outcomes are considered objectively and with an open mind.
While many organisations offer wellness programmes, few are well-designed and meet the dual objectives of improving participant health and reducing overall healthcare costs.
The Indian market is currently dominated by variants of the Mediclaim product which was designed and offered by the four public sector insurers before privatisation. This article examines how the concept of a standard health product would benefit various stakeholders.
This paper looks at the key provisions of the Mental Healthcare Act, 2017 (the Act), mental illness prevalence, supply-side indicators and the current treatment gap. It also includes the results of an industry survey to understand the impact of the Act on the Indian health insurance market and the mental health landscape in select international markets.
Many actuaries are now willing to employ generalised linear modelling (GLM) for the pricing of health products. What are the current and potential uses of GLM in the Indian health market?
Annual claims ratio projections for private medical insurance business can help various stakeholders understand the factors that affect the future profitability of the business. This article focusses on claims ratio projections in the context of the Indian health insurance market.