Articles

International benchmarking of hospital utilisation: how does the South African private sector compare?

S Ranchod, B Childs, M Abraham AND R Taylor

17–18 November 2015

Abstract: We benchmark the hospital-inpatient admission rates and average length of stay of the South African medical scheme population against a set of international comparators. Such a comparison is useful in developing reasonable expectations of the utilisation achievable in the private-hospital sector in South Africa, and as a means of identifying

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TOWARDS BEST PRACTICE IN THE ACTUARIAL ASSESSMENT OF CLAIMS FOR MAINTENANCE AGAINST DECEASED ESTATES

MW Lowther AND JWT Mort

15 March 2015

Abstract: This paper begins to record best practice in the actuarial assessment of claims for maintenance against deceased estates in South Africa. Although this is a small field of actuarial practice, it is in the public interest that generally accepted standards be agreed upon. The paper applies an actuarial quality framework to identify aspects of the field, and then

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THE SIGNIFICANCE OF CLAIMS FRAUD IN MICROINSURANCE AND A STATISTICAL METHOD TO CHANNEL LIMITED FRAUD IDENTIFICATION RESOURCES

PJF Agostinho AND CJ Cherry

15 July 2016

Abstract: In the past decade, the topic of microinsurance has received much attention from researchers around the world as the drive to alleviate persistent global poverty intensifies. Although microinsurance is a powerful tool that can be used to assist in the fight against poverty by acting as a safety net for policyholders, the problem of claims fraud is a serious threat to

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