PMID- 36926373
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230620
IS  - 2047-6965 (Print)
IS  - 2047-6973 (Electronic)
IS  - 2047-6965 (Linking)
VI  - 12
IP  - 1
DP  - 2023
TI  - Multi-criteria decision-making methods applied in health-insurance underwriting.
PG  - 52-84
LID - 10.1080/20476965.2022.2085190 [doi]
AB  - This study attempts to structure methodologically the health insurance 
      underwriting process by applying Multi-criteria Decision-making (MCDM) analysis 
      in health insurance underwriting. This is done by assigning a score to each 
      health insurance applicant which can be used to determine whether he or she is 
      accepted, rejected or accepted with special terms and conditions (such as 
      exclusions, additional waiting periods and/ or surcharge). The introduction of 
      MCDM approaches in health insurance underwriting enables the quantification of 
      the selection criteria, the increased standardization and automation of the 
      process and its alignment through quantitative indicators with the risk 
      tolerance/ risk appetite of the insurer, and there lie the novelties of this 
      research. The proposed methodology can be readily implemented by insurers with 
      added value in the underwriting, risk management and distribution (sales & 
      marketing) functions, as well as in the profitability of the company or the level 
      of premium paid by the insured.
CI  - (c) 2022 The Operational Research Society.
FAU - Mourmouris, John
AU  - Mourmouris J
AD  - Economics, Democritus University of Thrace, University Campus, Komotini, Greece.
FAU - Poufinas, Thomas
AU  - Poufinas T
AD  - Economics, Democritus University of Thrace, University Campus, Komotini, Greece.
LA  - eng
PT  - Journal Article
DEP - 20220619
PL  - England
TA  - Health Syst (Basingstoke)
JT  - Health systems (Basingstoke, England)
JID - 101602681
PMC - PMC10013473
OTO - NOTNLM
OT  - Multi-criteria Decision-making
OT  - health insurance
OT  - underwriting
COIS- No potential conflict of interest was reported by the author(s).
EDAT- 2023/03/18 06:00
MHDA- 2023/03/18 06:01
PMCR- 2023/06/19
CRDT- 2023/03/17 02:49
PHST- 2023/03/17 02:49 [entrez]
PHST- 2023/03/18 06:00 [pubmed]
PHST- 2023/03/18 06:01 [medline]
PHST- 2023/06/19 00:00 [pmc-release]
AID - 2085190 [pii]
AID - 10.1080/20476965.2022.2085190 [doi]
PST - epublish
SO  - Health Syst (Basingstoke). 2022 Jun 19;12(1):52-84. doi: 
      10.1080/20476965.2022.2085190. eCollection 2023.