Adding stop loss provisions to an HMO administrative services package

• المؤلف الرئيسي: Bautista, Ildemarc Cruz
• التنسيق: text
• اللغة: English
• منشور في: Animo Repository 2000
• الموضوعات: Mathematical models; Medical care; Insurance; Health > Adjustment of claims; Health > Finance; Finance and Financial Management
• الوصول للمادة أونلاين: https://animorepository.dlsu.edu.ph/etd_masteral/2557
• المؤسسة: De La Salle University

This study involves finding a pricing model for a stop-loss provision for clients that utilize an Health Maintenance Organization (HMO) Administrative Services Package (ASP). Essentially, under such a package, the HMO client does self-insurance and simply uses the facilities of the HMO's for a...