PHI Reserving

1993 ◽  
Vol 33 (1) ◽  
pp. 1-36
Author(s):  
Mark Turner

Papers devoted to the subject of reserving for Permanent Health Insurance (PHI) are not exactly numerous. The author could not find one published in the U.K., although there were papers in the U.S.A., Australia and South Africa.Most U.K. PHI papers have sought to cover the topic in its entirety and therefore do give views on reserving issues. Ironically, this paper in seeking to focus on reserving did, incidentally, find itself wandering over a large part of the PHI actuarial countryside. Perhaps this is unavoidable.PHI reserving is not just a question of ensuring adequate solvency. The reserving basis we choose can aid or hinder our understanding of the business. After all, the recognition of profits is defined by the reserving basis. If management is going to track profits in order to assist decisions on marketing position, financial strength of the office, etc. then it needs to be concerned that the reserving basis is not distorting the emerging results. An equivalent argument can be put forward in respect of the capital requirements of the business.

Author(s):  
Geoffrey Setswe ◽  
Samson Muyanga ◽  
Jacqueline Witthun ◽  
Peter Nyasulu

1988 ◽  
Vol 4 (1) ◽  
pp. 121-133 ◽  
Author(s):  
P Potthoff ◽  
M. Rothemund ◽  
D. Schwefel ◽  
R. Engelbrecht ◽  
W. van Eimeren

It should be pointed out that during the interviews most of the experts had positive expectations of ESM. The developers are more generally enthusiastic than the prospective users and affected parties who, especially in respect of the diffusion of ESM into practical application, only show a limited optimism.However, the representatives of the medical profession and the health insurance industry were convinced that ESM might contribute to cost-neutral increases of quality in out-patient and in-patient medicine. But we also understood them to say that they consider other developments in medicine to be overriding, for example, a tendency of general medicine towards a more family-oriented medicine and a reduced emphasis on technology-oriented medicine. In respect of the conception shared by developers as well as potential users that over-enthusiastic expectations should rather be restrained, we consider such a balanced expectation of positive effects of ESM to be adequate to the actual knowledge of the subject.


1958 ◽  
Vol 32 (4) ◽  
pp. 211-218 ◽  
Author(s):  
W. M. Fitzsimmons

This worm was very abundant in the rectum of a tortoise, Homopus femoralis, from the Bloemfontein area, Orange Free State, South Africa. It was found together with several other oxyurids the description of which will form the subject of a later paper. Although the Probstmayria far exceeded the other oxyurids in number, male specimens of this genus were extremely rare for only one male was found after a prolonged search during the course of which many hundreds of females were encountered. In order that no specimens should be lost the entire alimentary canal together with its contents was submerged in hot 70% alcohol after scraping the mucosa.


2020 ◽  
Vol 40 (1) ◽  
Author(s):  
Henning Melber

With issue No 1/2013, this journal changed in several respects. Under a new editor-in-chief, the Strategic Review for Southern Africa, then published for 35 years, turned into an open access journal with a redesigned look. But the makeoveraimed at more than merely cosmetic changes. As outlined in the introduction of that issue, the changing context both in South Africa as well as globally, motivated a conceptual re-positioning, that also modified the subject-related thematic framework1).  Since then, thanks to many contributors offering a wide range of topicalanalyses, we hopefully managed to live up to at least some of the expectations created. After five years, it is now time to hand editorial responsibility to a new generation of scholars groomed in the spirit of democratic South Africa. This, therefore, is the last issue for me as the editor-in-chief. While I welcomed the privilege to lead the journal towards implementing a modified agenda, I now welcome the opportunity to move out of the way and pursue other tasks. I thank all those in the editorial group and the advisory board who accompanied and supported me during the last years. I am especially grateful to Maxi Schoeman, who felt I would be the right choice for this task. Special thanks go also to Wilma Martin, without her assistance none of the last eleven issues would have become a reality.


Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Pierre Amarenco ◽  
Halim Abboud ◽  
Julien Labreuche ◽  
Antonio Arauz ◽  
Alan Bryer ◽  
...  

Background : The impact of socioeconomic factors (SEF) on the risk of future vascular events in stroke patients has been understudied. The Outcomes in Patients with TIA and Cerebrovascular disease (OPTIC) registry included patients in secondary prevention of stroke. Objective : to stratify the risk of vascular event recurrence in patients with cerebral infarction according to presence of PAD, ankle-brachial index (ABI), known coronary artery disease (CAD), involvement of several arterial beds, geographic variations and SEF. Method : Between January 2007 and December 2008, 3635 patients aged 45 years or older were enrolled in the OPTIC registry from 245 sites in 17 countries in the following regions: Latin America (1543 patients), Middle East (1041 patients), North Africa (834 patients), and South Africa (217 patients). PAD was present in 7.8%, ABI in 22%, CAD in 12.8%, and 31.1% were unemployed, 26.2% had less than 2 school years, 23% of patients had no health insurance, 12.8% lived in rural area, 8.4% lived alone, 7.5% did not live in a house/flat. Primary endpoint included vascular death (VD), myocardial infarction (MI) and stroke. Results : During median follow-up of 731 days, 524 patients had at least 1 primary event; 190 patients had VD, 88 nonfatal MI, and 296 nonfatal stroke. The estimated risk of primary endpoint was 15.6% (95%CI, 14.4-17.0%) at 2-year. The risk increased with the number of vascular beds involved from 13.1% to 30.7% (p for trend<0.001). Using patients from Latin America as reference, age-sex-adjusted HR was 1.29 (95%CI, 1.04-1.60) for Middle East, 1.31 (95%CI, 0.90-1.89) for South Africa, and 1.64 (95%CI, 1.32-2.04) for North Africa. The absolute additional risk of having a primary endpoint ranged between, 4.7% for unemployed patients to 17.5% for patients not living in a house/flat. In multivariate analysis, living in rural area, not living in a house/flat, unemployment status, no health insurance cover, and less than 2-years school were associated with an increased cardiovascular risk (all adjusted p<0.004). There was a stepwise increase in the primary endpoint with the number of low SEF ranging from 13% to 62% (adjusted p-value for trend<0.001). Conclusions : vascular risk in stroke patients in North and South Africa, Middle East and Latin America varies not only with the number of arterial beds involved but also with socio-economic variables, particularly poor health insurance cover, not living in a house/flat and low education level


1979 ◽  
Vol 10 (4) ◽  
pp. 125-130
Author(s):  
Fanus C. Gous

Business forecasting in the large manufacturing concerns in South Africa, 1978. Business forecasting has developed rapidly over the past few years as a result of the increasing complexity of the environment of the firm. Some overseas writers assert that the application thereof has developed more slowly than the theory connected to it: although businesses are aware of the necessity and existence of literature on the subject, it is only to a limited extent applied on an organized basis. Overseas businesses apparently experience three problems: a preference for the application of certain techniques is built up so that more suitable techniques are not utilized; not all relevant factors are taken into consideration in the choice of the most suitable technique; and managers often do forecasting themselves even though they possess little knowledge thereof. An empirical study has shown that similar problems are encountered by the relatively large manufacturing concerns in South Africa.Ondernemingsvooruitskatting het gedurende die afgelope jare, as gevolg van die toenemende kompleksiteit in die ondernemingsomgewing, vinnig ontwikkel. Sommige oorsese skrywers beweer dat die toepassing daarvan stadiger ontwikkel het as die teorie daaraan verbonde: ondernemings, alhoewel bewus van die noodsaaklikheid daarvan en ook van die bestaan van literatuur daaroor, pas dit in 'n beperkte mate op georganiseerde grondslag toe. Blykbaar ondervind oorsese ondernemings veral drie probleme: 'n voorkeur vir die toepassing van bepaalde tegnieke word opgebou sodat meer toepaslike tegnieke nie benut word nie; alle relevante faktore word nie in ag geneem by die keuse van die tegniek nie; en bestuurders doen dikwels self vooruitskatting alhoewel hulle oor weinig kennis daarvan beskik. 'n Empiriese studie het getoon dat soortgelyke probleme deur die relatief groot vervaardigingsondernemings in Suid-Afrika ondervind word.


1969 ◽  
Vol 13 (3) ◽  
pp. 127-144
Author(s):  
Sebastian Poulter

Whereas the reception and operation of English law in West and East Africa have been the subject of much study over the last few years, the introduction and application of Roman-Dutch law in Southern Africa (apart from South Africa itself) have received scant treatment.1 This article deals only with the position in Lesotho and attempts to show the extent to which Lesotho's legal system is tied to that of the Republic of South Africa, and thus strengthens the geographical and economic bonds which link the two countries.


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