TY  -  JOUR 
TI  - Capital requirements of health insurers under different risk-adjusted capitation payments
PB  - Centro de Estudios en Protección Social y Economia de la Salud - PROESA
PY  - 2017
issn 2256-4128
AB  - Defining optimal capital requirements for health insurers is a matter of interest for policy-makers.
They determine the insolvency probability of health insurers and the minimum number of enrolees
in order to keep insolvency under control. In this paper we develop a methodology for estimating
the expected loss per health insurer after considering their specific risk profile and the capitation
formula with which they are paid. We assume the expected loss follows a normal distribution
within risk pools consisting of a unique combination of long-term disease, age, gender, and
location, and then define the minimum capital requirement as the 1st quantile of the loss
distribution. An application is made for insurers in the statutory health care system of Colombia.
KW  - Aseguradoras de salud
KW  - Sistemas de salud - Colombia
KW  - Salud - Administracion
KW  - Administración de la salud
UR  - http://hdl.handle.net/10906/81477
ER  -