Quality Health Care and Willingness to Pay for Health Insurance Retention: A Randomized Experiment in Kolkata Slums

2016 ◽  
Vol 26 (5) ◽  
pp. 619-638 ◽  
Author(s):  
Clara Delavallade
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Willingness To Pay ◽  
Randomized Experiment ◽  
Quality Health Care ◽  
Quality Health

Health Care Reform Requires IT Solutions to Influence Consumer Perception at a Health Care Payer

2012 ◽  
Vol 14 (2) ◽  
pp. 18-26 ◽  
Author(s):  
Rahul Bhaskar ◽  
Au Vo
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Insurance ◽  
Managed Care ◽  
Health Care Reform ◽  
Quality Health Care ◽  
Quality Health ◽  
Health Insurance Provider ◽  
Perception Of Quality ◽  
Care Payer

The recent health care reform is one of the biggest changes that the health care industry has ever faced. This reform represents the paradigm changing opportunities and challenges for the company providing health insurance in a managed care environment. The CIO of a premier managed care health insurance provider (“ABC Company”) wants to take advantage of the new environment using Information Technology. He and his management teams have determined, using primary research, that the customer perception of the health care company’s cost and accessibility to the quality health care are the most important factors to their customers in the new market. They are aware that even though they have been able to use information technology to predict customer reaction to the changes in cost, and perception of quality, it will be very difficult to deliver new systems and processes that support ABC Company’s to the new realities it is facing the market.

scholarly journals Mathematical Techniques of Modelling Salary-Based Health Care Contribution

2021 ◽  
Vol 2 (2) ◽  
pp. 97-112
Author(s):  
Ogungbenle Gbenga Michael
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Current Model ◽  
Insurance Coverage ◽  
Care Program ◽  
Good Health ◽  
Health Insurance Coverage ◽  
Quality Health Care ◽  
Quality Health ◽  
Mathematical Techniques

This paper is intended to support reforms counteracting the adverse health insurance contribution trends through constructing an actuarially equitable salary-based health care system for experienced health insurance underwriters. The focus is on contribution technique employed by experts who consult for health insurance funds especially when performing official duties as health insurance actuary. The objective is to construct actuarial models of computing employee’s, employer’s and government’s contribution for health insurance care program in a way that permits generally equitable cost-efficient health insurance coverage within the framework of obtainable health benefits policy. Nigeria’s low economic growth rate and primitive technology resulted in an increasing rate of health care costs and consequently, quality health care at affordable prices is far from the reach of enrollees because of inequitable distribution of costs. In order to solve this problem, we constructed a health care model with a deterministic salary function structure to compute contribution on behalf of enrollees as a paradigm shift to an actuarial system of modelling contribution with a goal to building a sustainable health insurance delivery that encourages good health outcomes. From our results, the rate derived from our current model is far below the official rating of  on employee’s salary which is not footed on actuarial basis and hence cheaper and more equitable to adopt.

Health Care Reform Requires IT Solutions to Influence Consumer Perception at a Health Care Payer

2014 ◽  
pp. 42-52
Author(s):  
Rahul Bhaskar ◽  
Au Vo
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Insurance ◽  
Managed Care ◽  
Health Care Reform ◽  
Quality Health Care ◽  
Quality Health ◽  
Health Insurance Provider ◽  
Perception Of Quality ◽  
Care Payer

Recent health care reform is one of the biggest changes that the health care industry has ever faced. This reform represents paradigm changing opportunities and challenges for the company providing health insurance in a managed care environment. The CIO of a premier managed care health insurance provider (ABC Company) wants to take advantage of the new environment using Information Technology. He and his management teams have determined, using primary research, that the customer perception of the health care company’s cost and accessibility to quality health care are the most important factors to their customers in the new market. They are aware that even though they have been able to use information technology to predict customer reaction to changes in cost and perception of quality, it will be very difficult to deliver new systems and processes that support ABC Company’s exposure to the new realities it faces in the market.

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