Insurance companies’ lack of LGBTQ+ affirmation: discrimination, distrust, and dissatisfaction among LGBTQ+ people [PDF]
Frontiers in SociologyIntroductionLGBTQ+ individuals have historically faced and continue to experience stigma and discrimination in various areas, including healthcare.
Dustin Z. Nowaskie +3 more
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Interaction between health insurance, household income, and public health financing in Ukraine [PDF]
Problems and Perspectives in Management, 2022 The most significant problems in financing the public health system in Ukraine are the permanent deficit of public spending on medicine and the shallow development of the voluntary health insurance market.
Aleksandra Kuzior +4 more
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Optimal Insurance for a Minimal Expected Retention: The Case of an Ambiguity-Seeking Insurer
Risks, 2016 In the classical expected utility framework, a problem of optimal insurance design with a premium constraint is equivalent to a problem of optimal insurance design with a minimum expected retention constraint.
Massimiliano Amarante, Mario Ghossoub
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Did The Horizontal Referral Policy in Indonesia Create Cost Savings?
Jurnal Jaminan Kesehatan Nasional, 2021 Background: In Indonesia, the referrals to hospitals by Primary Care Providers (PCPs) is high. In 2018, more than 15 per cent of patients visiting PCPs were referred to hospitals, while the cost for outpatient visits reached 51.2 trillion rupiahs.
Aditya Darmasurya +2 more
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Towards Uniform Insurer Coverage for Functional MRI following Severe Brain Injury
The journal of head trauma rehabilitation, 2023 Functional magnetic resonance imaging (fMRI) now promises to improve diagnostic and prognostic accuracy for patients with disorders of consciousness, and accordingly has been endorsed by professional society guidelines, including those of the American ...
Michael J. Young +4 more
semanticscholar +1 more source
Financial risk allocation and provider incentives in hospital–insurer contracts in The Netherlands
European Journal of Health Economics, 2022 In healthcare systems with a purchaser–provider split, contracts are an important tool to define the conditions for the provision of healthcare services. Financial risk allocation can be used in contracts as a mechanism to influence provider behavior and
Chandeni S. Gajadien +5 more
semanticscholar +1 more source
Coverage Denials: Government and Private Insurer Policies for Medical Necessity in Medicare
Health Affairs, 2022 Little is publicly known about coverage denials for medical services not meeting medical necessity criteria. We characterized the extent of these denials and their key features using Medicare Advantage claims for a large insurer from 2014–2019.
A. Schwartz +6 more
semanticscholar +1 more source
FINANCIAL STABILITY OF THE INSURANCE COMPANY AND KEY CONDITIONS FOR ITS PROVIDING
Соціальна економіка, 2023 In the article, we considered the evaluation of the financial reliability of insurance organizations. The insurer’s financial reliability usually means the insurer’s ability to fulfill insurance obligations under insurance and reinsurance contracts in
Olha Boronina
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Methodology for Calculating the Job Loss Insurance Rate
Финансы: теория и практика, 2023 The relevance of the research topic is confirmed by the fact that in the context of globalization, job search and job loss have become rather common. Therefore, the working-age population needs to be protected from job loss when looking for a new job ...
A. V. Bandurin
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Modeling interactions between institutions of housing markets based on nonlinear functions of costs
Russian Journal of Economics and Law, 2021 Objective: to study the optimal pricing strategies of firms in the “realtor - bank - insurer” system under nonlinear cost functions.Methods: game theory, supply chain coordination, multi-criteria optimization.
M. I. Geras’kin, M. V. Ivanova
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