Insurance industry contributes largely to the economy therefore risk management in this industry is very much necessary. In the insurance parlance, the risk management is a tool identifying business opportunities to design and modify the insurance products. Risk can have severe impact in case not managed properly and timely. The mapping of risk management with data mining will help organization...

THE PRIVATE HEALTH insurance industry in the United States is made up of three broad categories: Blue Cross and Blue Shield associations, commercial insurance companies, and independent plans. In 1970 these private health insurance organizations provided some protection to approximately four-fifths of the civilian population-against the costs of hospital care and surgical care. For 72 percent o...

Established in 1984, the Wharton Risk Management and Decision Processes Center develops and promotes effective corporate and public policies for low‐probability events with potentially catastrophic consequences through the integration of risk assessment, and risk perception with risk management strategies. Natural disasters, technological hazards, and national and international security issues ...

Moral hazards are the result of an expansive range of factors mostly originating in the patients' roles. The objective of the present study was to investigate patient incentives for moral hazards using the experiences of experts of basic Iranian insurance organizations. This was a qualitative research. Data were collected through semi-structured interviews. The study population included all exp...

Even with open enrollment and mandated purchase, incentives created by adverse selection may undermine the efficiency of service offerings by plans in the new health insurance Exchanges created by the Affordable Care Act. Using data on persons likely to participate in Exchanges drawn from five waves of the Medical Expenditure Panel Survey, we measure plan incentives in two ways. First, we const...

introduction: health care is considered as one of the basic needs of human societies. health insurance is the most appropriate option for all individuals to enjoy equal health care. however, today, different types of health insurance are facing with various problems which need to be solved through new laws. therefore, health insurance portability and accountability act (hipaa) was approved to s...

Established in 1984, the Wharton Risk Management and Decision Processes Center develops and promotes effective corporate and public policies for low‐probability events with potentially catastrophic consequences through the integration of risk assessment, and risk perception with risk management strategies. Natural disasters, technological hazards, and national and international security issues ...

Insurance companies are among the service organizations, which maintain close relationships with their clients by providing insurance services. Clients are the most important resource for service companies. And profitability of insurance companies undoubtedly hinges on clear analysis of client satisfaction and improved productivity of service providers. An important factor of client satisfactio...

OBJECTIVE To conduct site visits to study the early experiences of firms offering consumer-driven health care (CDHC) plans to their employees and firms that provide CDHC products. DATA SOURCES/STUDY SETTING A convenience sample of three firms offering CDHC products to their employees, one of which is also a large insurer, and one firm offering an early CDHC product to employers. STUDY DESIG...