Simon is Head of Strategy with Great Health, a private health insurer that is considering expanding into
Question:
Simon is Head of Strategy with Great Health, a private health insurer that is considering expanding into new European markets. They are considering opportunities in Ireland and the UK and the CEO is seeking information of aspects of health insurance operations that may differ from their domestic market. One aspect of the Irish market that the CEO is eager to learn more about is the concept of direct settlement. Simon is tasked with providing a brief document that:
a. Sets out the core principles of direct settlement as it applies to the hospital claims process in private health insurance
b. Summarizes the main advantages of the direct settlement process for the insurer, the hospital, and the insured.
Outline the information that the Board of Great Health should expect to read in parts a) and b) of Simon's briefing note.
Step by Step Answer:
Principles Of Risk Management And Insurance
ISBN: 9781292151076
13th Global Edition
Authors: George E. Rejda, Michael J. McNamara