Adding stop loss provisions to an HMO administrative services package

• Main Author: Bautista, Ildemarc Cruz
• Format: text
• Language: English
• Published: Animo Repository 2000
• Subjects: Mathematical models; Medical care; Insurance; Health > Adjustment of claims; Health > Finance; Finance and Financial Management
• Online Access: https://animorepository.dlsu.edu.ph/etd_masteral/2557
• Institution: 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...