The Selection of Competing Third Party Administrators

Athavale, Manoj; Avila, Stephen M.

doi:10.1177/0886368705276185

Cited by 1 publication

(4 citation statements)

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“…Other factors for company selection include location, infrastructure, speed and quality of services provided, internet banking facilities, staff professionalism and guidance, and the firm's reputation [ 9 ]. The number of providers in the network, network discounts that would affect expected claims, fixed administration costs and aggregate reinsurance trigger are factors that the employers believed were significant in selecting between competing CHICs [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…For all organisations, expenses related to the employee health benefits packages are rising, mainly due to increased health care services utilisation [ 6 ]. Hence, organisations are looking for complementary health financing arrangements to provide more financial protection for employees against medical care expenditure [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, organisations usually outsource specific responsibilities while setting up their healthcare plan to competent and experienced professional CHICs. These CHICs provide the necessary complementary health services on behalf of the employer under a service contract to the employees [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…According to a study in India, the following factors affected the choice of customers for insurance companies: computerisation and online transactions, connectivity with the bank, speed and efficiency of transactions, clear communication, availability of premium collection centre, the reputation of CHIC, professionalism and credibility of staff, fast and efficient counter services, ease of opening the account, secure internet banking [ 9 ]. The number of providers in the network, fixed administration costs, and aggregate reinsurance trigger are factors the employers believed were significant in selecting competing insurers [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Criteria for the selection of complementary private health insurance: the experience of a large organisation in Iran

Bazyar

Sakha

Gordeev

et al. 2022

BMC Health Serv Res

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Background Expenses related to employee’s health benefit packages are rising. Hence, organisations are looking for complementary health financing arrangements to provide more financial protection for employees. This study aims to develop criteria to choose the most appropriate complementary health insurance company based on the experience of a large organisation in Iran. Methods This study was conducted in 2021 in Iran, in the Foundation of Martyrs and Veterans Affairs to find as many applicable criteria as possible. To develop a comprehensive list of criteria, we used triangulation in data sources, including review of relevant national and international documents, in-depth interviews of key informants, focus group discussion, and examining similar but unpublished checklists used by other organisations in Iran. The list of criteria was prioritised during focus group discussions. We used the best-worst method as a multi-criteria decision making method and a qualitative consensus among the key informants to value the importance of each of the finalised criteria. Findings Out of 85 criteria, we selected 28 criteria to choose an insurer for implementing complementary private health insurance. The finalised criteria were fell into six domains: (i) Previous experience of the applicants; (ii) Communication with clients; (iii) Financial status; (iv) Health care providers’ network; (v) Technical infrastructure and workforce; (vi) and Process of reviewing claims and reimbursement. Conclusion We propose a quantitative decision-making checklist to choose the best complimentary private health insurance provider. We invite colleagues to utilise, adapt, modify, or develop these criteria to suit their organisational needs. This checklist can be applied in any low- and middle-income country where the industry of complementary health insurance is blooming.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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