Actuarial Outpost
 
Go Back   Actuarial Outpost > Actuarial Discussion Forum > Health - Disability
FlashChat Actuarial Discussion Preliminary Exams CAS/SOA Exams Cyberchat Around the World Suggestions

US PROPERTY AND CASUALTY JOBS

Reply
 
Thread Tools Display Modes
  #1  
Old 07-13-2009, 08:30 PM
tope tope is offline
Member
 
Join Date: Oct 2003
Posts: 540
Default Luring healthy risks to a high cost product

I m looking at a scenario where you have 2 products, a PPO type product and an HDHP...The HDHP attracts younger healthier members due to low cost and saving component, but now you want to attract these younger members to a more costly PPO, but you dont want to change the price as much, is there any other incentive to get healthy risks to join a product like PPO, bearing in mind that cost is one of the attractive pieces of the HDHP in the first place
Reply With Quote
  #2  
Old 07-13-2009, 08:54 PM
Hackeni's Avatar
Hackeni Hackeni is offline
Wiki Contributor
SOA CCA AAA
 
Join Date: Nov 2005
Location: San Francisco
Studying for CSP
College: UCLA Alumni
Posts: 86
Default

Quote:
Originally Posted by tope View Post
I m looking at a scenario where you have 2 products, a PPO type product and an HDHP...The HDHP attracts younger healthier members due to low cost and saving component, but now you want to attract these younger members to a more costly PPO, but you dont want to change the price as much, is there any other incentive to get healthy risks to join a product like PPO, bearing in mind that cost is one of the attractive pieces of the HDHP in the first place
terminate the HDHP product
Reply With Quote
  #3  
Old 07-13-2009, 09:23 PM
Dr T Non-Fan Dr T Non-Fan is online now
Member
 
Join Date: Sep 2001
Location: Just outside of Nowhere
Posts: 38,290
Default

Quote:
Originally Posted by tope View Post
I m looking at a scenario where you have 2 products, a PPO type product and an HDHP...The HDHP attracts younger healthier members due to low cost and saving component, but now you want to attract these younger members to a more costly PPO, but you dont want to change the price as much, is there any other incentive to get healthy risks to join a product like PPO, bearing in mind that cost is one of the attractive pieces of the HDHP in the first place
If I knew, I couldn't tell you, for it would be a company secret. Therefore, there is no way to do this. Just give up.
__________________
DTNF's Basic Philosophy Regarding Posting: There's no emoticon for what I'm feeling! -- Jeff Albertson (CBG)
DTNF's Standard Career Advice: "pass some exams and get back to us."
DTNF's Law of Job Offers: You not only have to qualify for the position, but you also have to be the best candidate available for the offer.
DTNF's Work Philosophy: I am actuary. Please insert data. -- Actuary Actuarying Rodriguez.
Reply With Quote
  #4  
Old 07-13-2009, 09:34 PM
DudeMan's Avatar
DudeMan DudeMan is online now
Member
 
Join Date: Jan 2006
Location: Northeast
Studying for shts&ggles
Favorite beer: Ginger Beer
Posts: 8,837
Default

this is the job of the sales department
Reply With Quote
  #5  
Old 07-14-2009, 09:13 AM
JMO's Avatar
JMO JMO is offline
Carol Marler
SOA AAA
 
Join Date: Sep 2001
Location: Back home again in Indiana
Studying for CPD
Posts: 23,003
Default

Offer cash incentives in the PPO product only, for "wellness" activities like stop-smoking, weight-loss, regularly scheduled check-ups, etc.
__________________
Carol Marler, FSA, MAAA, A Dedicated Actuary
Just My Opinion (Although this statement is my opinion, and I am an actuary, it's still not a statement of actuarial opinion, and you really shouldn't rely on it.)
Updated quotes Jan. 25:
Spoiler:
Quote:
Originally Posted by Steve Grondin View Post
Don't ask me to prove it mathematically, I've been practicing too long.
Quote:
Originally Posted by Chuck View Post
We can make both better if we figure out a way to work together on it.
Quote:
Originally Posted by asdfasdf View Post
I'm atleast functionally dysfunctional....
Quote:
Originally Posted by tommie frazier View Post
I wish the MAP survey [on FEM] had been done a while back, so it could have been killed before the august surprise.
Quote:
Originally Posted by Jack View Post
Yes there are exponential and arctan formulas. They're more sophisticated ways of applying what we don't know.
Reply With Quote
  #6  
Old 07-14-2009, 09:20 AM
FormLetter's Avatar
FormLetter FormLetter is online now
Member
 
Join Date: Feb 2006
Posts: 7,753
Default

There probably are ways, but since these likely aren't standard trade practices, you won't get them this easily.
Reply With Quote
  #7  
Old 07-14-2009, 11:34 AM
tope tope is offline
Member
 
Join Date: Oct 2003
Posts: 540
Default

I ve wrestled with this one and I concluded that it will be virtually impossible to attract a healthy risk to the PPO type plan, it is all about economics. Even if we give the healthy folks, incentive to move via wellness benefits, credits etc, one has to balance that against the fact that they chose the HDHP for the simple reason that they are healthy
Reply With Quote
  #8  
Old 07-14-2009, 12:23 PM
Polly Nomial's Avatar
Polly Nomial Polly Nomial is online now
Member
 
Join Date: Dec 2001
Location: Flatland
Favorite beer: That would be flat beer, of course!
Posts: 4,968
Default

You've stumbled onto one of the fundamental contradictions of free market health insurance. Healthy people don't want to pay for insurance.
__________________
I'm not a complete idiot!

......................Some parts may be missing.
Reply With Quote
  #9  
Old 07-14-2009, 12:28 PM
JMO's Avatar
JMO JMO is offline
Carol Marler
SOA AAA
 
Join Date: Sep 2001
Location: Back home again in Indiana
Studying for CPD
Posts: 23,003
Default

Quote:
Originally Posted by Polly Nomial View Post
You've stumbled onto one of the fundamental contradictions of free market health insurance. Healthy people don't want to pay for insurance.
Yep. Mostly. And those of us who have done so over the years (while we were healthy) are just a bit annoyed that we get no credit for that.
__________________
Carol Marler, FSA, MAAA, A Dedicated Actuary
Just My Opinion (Although this statement is my opinion, and I am an actuary, it's still not a statement of actuarial opinion, and you really shouldn't rely on it.)
Updated quotes Jan. 25:
Spoiler:
Quote:
Originally Posted by Steve Grondin View Post
Don't ask me to prove it mathematically, I've been practicing too long.
Quote:
Originally Posted by Chuck View Post
We can make both better if we figure out a way to work together on it.
Quote:
Originally Posted by asdfasdf View Post
I'm atleast functionally dysfunctional....
Quote:
Originally Posted by tommie frazier View Post
I wish the MAP survey [on FEM] had been done a while back, so it could have been killed before the august surprise.
Quote:
Originally Posted by Jack View Post
Yes there are exponential and arctan formulas. They're more sophisticated ways of applying what we don't know.
Reply With Quote
  #10  
Old 07-14-2009, 12:49 PM
WellThen WellThen is offline
Member
 
Join Date: Dec 2006
Posts: 1,512
Default

Why did you pay for health insurance when you healthy? You also did get credit for buying health insurance when you were healthy...you were covered in case you became sick. It just so happens that you didn't (I assume).

I excercise, eat right, and have no family history of any health problems, so of course I'm going with the HDHP. I'm also a big fan of the HSA.
Reply With Quote
Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


All times are GMT -4. The time now is 03:41 PM.


Powered by vBulletin®
Copyright ©2000 - 2010, Jelsoft Enterprises Ltd.
Page generated in 0.24374 seconds with 6 queries