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Quatrième de couverture : "Virus du SIDA, grippe aviaire (H5N1), grippe A (H1N1) la menace d'une pandémie appartient désormais à notre quotidien. Drame humain majeur, ce risque sanitaire entraînerait de lourdes conséquences financières pour les assureurs. À l'exception de la grippe espagnole de 1918, nous ne disposons que de peu de repères pour modéliser, appréhender et calculer l'impact d'une pandémie. Les nouvelles normes européennes Solvabilité II qui entrent en vigueur en 2013 donnent obligation aux assureurs de cartographier l'ensemble des risques. Dès lors, comment modéliser une pandémie ? Comment évaluer son coût ? Comment transférer tout ou partie de ce risque à un tiers (réassureur, marchés financiers via la titrisation) ? Quelle stratégie de couverture choisir ? Cet ouvrage modélise, pour la première fois, le risque de pandémie et apporte ainsi des réponses claires à l'ensemble de ces questions. Il constitue un guide essentiel pour les compagnies d'assurance."

Stochastic Processes --- Insurance, Health --- Pandemics --- prevention and control --- AA / International- internationaal --- 368.00 --- Theorieën over verzekeringen. Actuariële wetenschappen --- Pandemics - prevention and control

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Medical care --- Health insurance --- User charges --- Fees and Charges --- Delivery of Health Care --- Insurance, Health --- Medical care --- Health insurance --- User charges --- Patient Care Management --- Health Care Quality, Access, and Evaluation --- Economics --- Insurance --- Delivery of Health Care --- Insurance, Health --- Fees and Charges --- Health Services Administration --- Health Care Economics and Organizations --- Health Care --- Financing, Organized --- Finance --- Case studies. --- Case studies. --- Case studies. --- economics --- Finance

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Although mandatory health insurance programs are being proposed or expanded in many developing countries, relatively little attention has been given to how these programs are governed. The available literature focuses almost exclusively on operational features that are important but will necessarily change over time-such as eligibility, benefit packages, and premiums. Governing Mandatory Health Insurance instead looks at the institutional and political forces that affect the behavior of such programs within their social and historical contexts and how five dimensions of governance-coherent dec

Health insurance -- Cross-cultural studies. --- Health insurance. --- Insurance, Health -- Europe. --- Insurance, Health -- Latin America. --- Health insurance --- Health Services Administration --- Insurance --- Social Control, Formal --- Geographic Locations --- Americas --- Health Planning --- Health Care Economics and Organizations --- Geographicals --- Financing, Organized --- Sociology --- Health Care --- Economics --- Social Sciences --- Anthropology, Education, Sociology and Social Phenomena --- National Health Programs --- Europe --- Insurance, Health --- Organization and Administration --- Mandatory Programs --- Latin America --- Public Health --- Health & Biological Sciences --- Medical Care Plans --- Health plans, Prepaid --- Medical care, Prepaid --- Medical insurance --- Prepaid health plans --- Prepaid medical care --- Sickness insurance --- Ambulance service --- Health care reform --- Home care services --- Hospitals --- Medically uninsured persons --- Surgical clinics --- Prospective payment --- Emergency services --- Outpatient services --- Rehabilitation services

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Specialist groups have often advised health ministers and other decision makers in developing countries on the use of social health insurance (SHI) as a way of mobilizing revenue for health, reforming health sector performance, and providing universal coverage. This book reviews the specific design and implementation challenges facing SHI in low- and middle-income countries and presents case studies on Ghana, Kenya, Philippines, Colombia, and Thailand.

14.01 --- Microfinanciering en -verzekeringen ; Algemeen --- Electronic books. --- Health insurance. --- Insurance, Health. --- Health insurance --- Social security --- International Cooperation --- Insurance --- Public Policy --- Public Assistance --- Social Sciences --- Financing, Organized --- Financing, Government --- Social Control Policies --- Anthropology, Education, Sociology and Social Phenomena --- Internationality --- Policy --- Social Control, Formal --- Sociology --- Health Care Economics and Organizations --- Health Care --- Health Policy --- Social Security --- Developing Countries --- Insurance, Health --- Economics --- Health plans, Prepaid --- Medical care, Prepaid --- Medical insurance --- Prepaid health plans --- Prepaid medical care --- Sickness insurance --- Ambulance service --- Health care reform --- Home care services --- Hospitals --- Medically uninsured persons --- Surgical clinics --- Prospective payment --- Emergency services --- Outpatient services --- Rehabilitation services

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This report provides the first-ever comparative analysis of the role and performance of private health insurance (PHI) in OECD countries. It analyses PHI markets and identifies policy issues arising from their interdependence with publicly financed health coverage schemes. The report assesses the impact of PHI against health policy objectives, paying special attention to the challenges and benefits associated with different insurance mixes. The analysis identifies strengths as well as areas where private health insurance might pose challenges to health system performance. This report shows how governments can help ensure that PHI markets make a positive contribution to the performance of health systems. Examples of useful practices for developing more efficient and equitable health insurance markets are also presented.

Health insurance -- OECD countries. --- Health insurance. --- Medical policy -- OECD countries. --- Medical policy. --- Health plans, Prepaid --- Insurance, Health --- Medical care, Prepaid --- Medical insurance --- Prepaid health plans --- Prepaid medical care --- Sickness insurance --- Insurance --- Ambulance service --- Health care reform --- Home care services --- Hospitals --- Medically uninsured persons --- Surgical clinics --- Prospective payment --- Emergency services --- Outpatient services --- Rehabilitation services