Next:
Contents
Contents
Standard Errors: Statistical Consequences of Health Care Provider Insurance Risk Assumption
Thomas Cox
Contents
Introduction
Insurance Risk Transferring Health Care Finance Mechanisms
Why Does Insurance Work?
Basic Insurance Principles
Insurer Operating Results
Insurer Revenues
Claims Costs
Insurer Population Loss Ratio Estimates
Insurer Operating Expense Ratios
Insurer Operating Results By Population Loss Ratio Estimate
Insurer Operating Results By Population Loss Ratio Estimate - Profits
Insurer Operating Results By Population Loss Ratio Estimate - Losses
Efficient Insurer Portfolio Selections Are Random Samples
Paradigm insurer
Quantitative Analysis of Insurer Operations
Insurer Standard Errors by Portfolio Size
Insurer Probabilities of Profits by Portfolio Size
Insurer Probabilities of Operating Losses by Portfolio Size
Insurer Risk and Surplus Requirements
Solvency Preserving Loss Ratio
Surplus Requirements by Portfolio Size
Aggregate Surplus by Portfolio Size
Insurer Risk and Maximum Sustainable Benefits
Maximum Sustainable Benefits for Profits of 5 Percent
Maximum Sustainable Benefits to Avoid Operating Losses
Risk Adjusted Premiums
Portfolio Risk Adjusted Premiums - Matching PI's Profit Probabilities
Portfolio Risk Adjusted Premiums - Matching PI's Loss Avoidance Probabilities
Reinsurance - How PI Can Eliminate Risk and Lock In Profits
Profit Adjusted Premiums - PI Transfers Risks to Insurer B or NHI
Loss and Risk Adjusted Premiums - PI Transfers Risks to Insurer B and NHI
The Impact of Case Mix Adjusted Capitation Rates on Risk Bearing Providers
Conclusions and Recommendations
References
About this document ...
Thomas Cox PhD RN 2013-02-23