Hospital management and health insurance

• To provide participants with an overview of Health Insurance systems around the globe
  To help participants examine the issues of morbidity and risk selection.
• To bring into focus an actuarial point of view of Health insurance
• To assist the participants in a study of various medical insurance products available for residents & foreign travelers etc.
• To introduce the concept of Managed Health Care
• To introduce reinsurance concepts for covering high end risk
•  Developing & designing new Health Insurance products for various segments like citizens, younger generation, AIDS victims, specified disease covers
• Niche marketing for high end consumers, for rural consumers and those exposed to occupational health hazards

CONTENT

• Insurance and health care – interface
• Morbidity risk and its treatment, Rating and selection for morbidity
• Actuarial Application of Health Insurance,
•  Long-term care insurance, dreaded diseases cover
• New Health Insurance products in international markets
• Managed Health Care, AAR & Resolution Health
• Health Insurance for poor (Health & Micro Insurance)
• Medical underwriting & Claims settlement
• Analysis of claims data & reduction of losses, Role of tpAs
• AIDS – Major Health Hazard
• Channelizing Health Insurance Marketing

FOR WHOM:

Relevant Healthcare Practitioners

TRAINING METHODOLOGY

The training methodology combines lectures, discussions, group exercises and illustrations. Participants will gain both theoretical and practical knowledge of the topics. The emphasis is on the practical application of the topics and as a result participant will go back to the workplace with both the ability and the confidence to apply the techniques learned to their duties.