Adding stop loss provisions to an HMO administrative services package

• 主要作者: Bautista, Ildemarc Cruz
• 格式: text
• 語言: English
• 出版: Animo Repository 2000
• 主題: Mathematical models; Medical care; Insurance; Health > Adjustment of claims; Health > Finance; Finance and Financial Management
• 在線閱讀: https://animorepository.dlsu.edu.ph/etd_masteral/2557

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...