A Sustainability Model for Small Health Maintenance Programs

Year: 

2016

Number: 

2

Volume: 

65

Author: 

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

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