ERM-513-13: Extending the Insurance ERM Criteria to the Health Insurance Sector


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Reading Source: ERM-513-13 Study Note

Topics Covered in this Reading:

  • Introduction
  • Risk Identification
    • Underwriting risk
    • Pricing risk
    • Claims management risk
    • Provider renewal risk
    • Operational risk
    • Catastrophe risk
    • Regulatory and political risk
    • Capitated business risk
    • Other products and services
  • Risk Monitoring
  • Risk Limits and Standards
  • Risk Limit Enforcement
  • Risk Management
  • Risk Learning
  • Conclusion
  • Health Insurance Risk Control Indicators