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Sian Bourdin
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Decks in this class (33)
Chapter 0 - Introduction to Health & Care
Distinguishing features of the he...,
Acc,
Product cycle
16
cards
Chapter 1 - PMI and other health-related
Product design,
South african minimum benefits,
Medical savings account
23
cards
Chapter 2 - Critical illness insurance
Forms of benefit for critical ill...,
Critical illness may be considere...,
Characteristic of illness conditi...
6
cards
Chapter 3 - Long-term care insurance products
Nursing care,
Intermediate care,
Two generic types of ltc cover
5
cards
Chapter 4 - Group business
Group business,
When can group products arise,
Product design considerations
12
cards
Chapter 5 - Healthcare
Healthcare,
Requirements for a well functioni...,
3 groups of healthcare
27
cards
Chapter 6 - consumer interests
Factors relating to product desig...,
What makes a product attractive,
Needs that healthcare insurance p...
17
cards
Chapter 7 - other stakeholder interests
Stakeholders in the product design,
Main stakeholder interests of the...,
Targets of product design and pri...
25
cards
Chapter 8 - distribution channels
Types of distribution channels,
Main forms of direct marketing,
Worksite marketing
20
cards
Chapter 9 - the general business environment
Selling characteristics pmi,
Selling characteristics ltci,
Selling characteristics ci
11
cards
Chapter 10 - risk adjustment
Acute clinical stability,
Principal diagnosis,
Co morbidities
12
cards
Chapter 11 - state healthcare provision
Key principals of new universalism,
The healthcare of the objectives ...,
What are the objectives of a gove...
33
cards
Chapter 12 - modelling
What are the two main approaches ...,
Models may also be defined by the...,
Main uses of models
32
cards
Chapter 13 - data
Relevance,
Projection to the midpoint of ins...,
Why own experience generally form...
11
cards
Chapter 14 - assumptions
General considerations when setti...,
General process for setting assum...,
Book rating
9
cards
Chapter 15 - demographic assumptions
What does the expected future exp...,
Split for long term health and ca...,
Social and economic influences on...
8
cards
Chapter 16 - financial assumptions
Why do larger policies tend to ha...,
How can healthcare providers be r...,
Fee for service
22
cards
Chapter 17 - other assumptions
How can you quantify the risk of ...,
Expected return on any asset,
Features that can make product de...
4
cards
Chapter 18 - GLM
Explanatory variables,
Response variables,
Categorical variables
35
cards
Chapter 19 - individual business
Process involved in deriving a ri...,
Factors to consider when selectin...,
Reasonability checks on data used...
24
cards
Chapter 20 - group business
Reduction in group size,
Calculation of group insurance pr...,
Rating factors
10
cards
Chapter 21 - other considerations
Profit criterion,
Profit signature,
Advantages of npv
14
cards
Chapter 22 - options and guarantees
The rough cost of a health option,
Factors affecting health options,
Extra assumptions when valuing a ...
9
cards
Chapter 23 - reserving
The purpose of calculating reserves,
Reserves for short term,
Upr
42
cards
Chapter 24 - nature of risks
Two aspects to data risk,
Why may internal data be inadequate,
Risks associated with claim rates
11
cards
Chapter 25 - nature of risks (2)
Competition may lead management o...,
Why may management not choose to ...,
Distribution risks
8
cards
Chapter 26 - nature of risks (3)
Management aims,
Actuary should aim to enable insu...,
Problems that confront the actuar...
3
cards
Chapter 27 - managed care
Aims of managed care,
Treatment protocols,
Abused of managed care protocols
3
cards
Chapter 28 - reinsurance
Reasons for reinsurance,
Factors affecting an insurer s de...,
Reinsurance commission
34
cards
Chapter 29 - other risk management techniques
Risk management techniques,
Moratorium underwriting,
Advantages of moratorium
48
cards
Chapter 30 - investments
Dmt,
Conditions for immunisation,
Problems with immunisation
7
cards
Chapter 31 - monitoring and feedback into the control cycle
Reasons for monitoring,
Consistent data,
Purposes of monitoring new busine...
21
cards
Q&A
What factors impact the simplicit...,
Consistency,
Extent of margin in pricing depen...
132
cards
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