In this paper experiences with a collaborative design approach, supported by discrete event simulation are presented. Four studies, in which alternative designs of organizational processes are explored, are discussed. One study takes place at an insurance company and three at an airport. The way of working followed, is evaluated and compared to the existing problem solving approach, which repre...

The stochastic modeling and determination of reserves and risk capitals for variable annuity guarantee products are relatively new developments in the insurance industry. The current market practice is largely based on Monte Carlo simulations, which have great engineering flexibility but the demand for heavy computational power can be prohibitive in many cases. In this paper, we distinguish and...

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This paper aims at investigating the integration of structured data into a semi-structured environment. In particular, it introduces the Cyclic Structure Converter (CSC) system that performs this task. In CSC, correspondence assertions and integration rules provide the adequate intelligence to reconcile the (possible) heterogeneous semantics relative to involved information sources. CSC has als...

introduction: insurance considered as the main financial resource of hospitals but hospitals have disagreement with insuring organizations in some financial cases and usually they do not received all their insurance claims. the aim of current research was to review the causes of deductions  in insurance bills in seyed alshahada hospital and suggest some suitable approaches. methods: in this des...

background health insurance has been acknowledged by researchers as a valuable tool in health financing. in spite of its significance, a subscription paralysis has been observed in india for this product. people who can afford health insurance are also found to be either ignorant or aversive towards it. this study is designed to investigate into the socio-economic factors, individuals’ health i...

background: with the increased range of medical insurance coverage in china, the proportion of medical expenditure shouldered by individuals is declining. the problem is the rapidly growing scale of medical expenditures challenges the sustainability of medical insurance funds. methods: this study used the heckman selection model, survival analysis, and ordered probit model to evaluate the effec...

Background: To assess determinants of willingness to pay for community health insurance among commercial motorcyclists (Boda Boda riders) in Kampala City. Methods: A descriptive cross sectional research was done. A sample of commercial motorcyclists’ stages were purposively selected. Simple random sampling was used to select respondents at each stage.  Structured interviews and contingency val...

abstract: background: today one of the main problems low or middle income families face is financing healthcare costs. this article studies the methods of of financing health care costs among hospitalized diabetic patients in different types of insurances. materials & methods: this is a causal-comparative study. the variables consist of comparative (health care costs) and categorical(different ...

background: the iranian healthcare system is primarily an insurance based system. this structure has an important influence on the efficiency and equity of the provision of healthcare in iran. this paper reviews the history of the iranian healthcare system and the impact of the iranian health insurance system on healthcare performance based on the results of interviews with key opinion leaders ...