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Factors to consider for claims ratio projections of a private medical insurance business
Population health and value-based care collaboration: Primary care case study
This paper discusses the primary care redesign of seven US practices over the course of three years, including their reported utilisation and savings achievements.
A valuable proposition: A look into the international private medical insurance market
Actuarial approaches to modelling and mitigating financial uncertainty in recommending new drugs and health technologies
Long term care funding and insurance opportunities
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.
EIOPA report on calibration of the premium and reserve risk factors in the standard formula: A health NSLT perspective
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 resilience in an ever changing landscape
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.
Data protection in a GDPR world
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.
How to implement a population health management programme
Population health management (PHM) ensures that ways to improve health outcomes are considered objectively and with an open mind.
How to implement a wellness programme
While many organisations offer wellness programmes, few are well-designed and meet the dual objectives of improving participant health and reducing overall healthcare costs.
Milliman Inpatient Benchmarking Tool
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Milliman actuarial consulting products
Health Cost Guidelines Suite
Claim Reserve Estimation Workbook (CREW)
Individual Medical Underwriting Guidelines (IMUGs)
Milliman Advanced Risk Adjusters
Milliman MIND
MedInsight
Milliman Medical Underwriting Suite
Milliman actuarial consulting services
Milliman actuarial consulting resources
A standardised health product for the Indian market
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.
Impact of Mental Healthcare Act, 2017, on the Indian healthcare insurance industry
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.
Use of generalised linear modelling in Indian insurance market for pricing health products
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?
Factors to consider for claims ratio projections of a private medical insurance business
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.