A Sustainability Model for Small Health Maintenance Programs

Year: 2016       Vol.: 65       No.: 2      

Authors: Mia Pang Rey and Ivy D.C. Suan

Abstract:

The objective of this paper is to present a theoretical model that can assist community-based health maintenance providers in handling their actuarial risk. It determines the factors and conditions under which the said model can be made financially sustainable. The break-even formulas for some of the parameters are derived. It likewise examines the amount of reserves needed to manage underwriting risk.

Keywords: health maintenance programs, sustainability

Download this article: