A consumer-driven health plan (CDHP), also known as a consumer-directed health plan, is a health insurance plan design increasingly prevalent in the United States. CDHPs are a specific type of high-deductible health plan generally including a health savings account (HSA) or a health reimbursement arrangement (HRA). Compared to traditional commercial health plans—such as a health maintenance org...

Coronary heart disease morbidity and mortality are dynamic issues. Outcomes from medical and surgical treatments are having dramatic effects. For the life insurer it is vital to follow closely the changing history of the disease.

In this essay, we shall make an attempt to account for the frequently observed phenomenon of insurance companies offering discounts to clients who possess a favorable record of past claims. We shall argue that such discounts provide a mechanism which enables both insurer and insured to counteract the inefficiency which arises from moral hazard. Moral hazard is an example of economic interaction...

We recently conducted a research project for a large North American automobile insurer. This study was the most exhaustive ever undertaken by this particular insurer and lasted over an entire year. We analyzed the discriminating power of each variable used for ratemaking. We analyzed the performance of several models within five broad categories: linear regressions, generalized linear models, d...

BACKGROUND Managed competition was introduced into the health care system in several countries including the Netherlands, although effects of competition of both providers and health insurers on the price of health care are inconclusive. We investigated the association between competition of both providers (care groups) and health insurers and the price of disease management programmes (DMPs). ...

Reinsurers possess high volumes of policy listings data from insurers, which they use to provide insurers with analytical insights and modeling that guide reinsurance treaties. These often act on the same for their own internal analytics needs. The problem is this messy needs significant preparation in order extract meaningful insights. Traditionally, has required intensive manual labor actuari...

I propose a centralized marketplace, a pre-exchange, for health insurer-provider network formation and examine its welfare impact. Current network formation is highly decentralized and contracting is bilateral within each insurer-provider pair. The key innovation of the pre-exchange is the introduction of explicitly multilateral contracting. In particular, providers set prices that depend both ...