文章基本信息

标题：Determinação do preço assistencial em planos de saúde utilizando simulação
其他标题：Determination of care price in health plans using simulation
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作者：David Gradvohl de Macêdo ; Emílio Capelo Júnior ; Elias Pereira Lopes Júnior 等
期刊名称：Sistemas Gestão
印刷版ISSN：1980-5160
出版年度：2018
卷号：13
期号：1
页码：81-87
DOI：10.20985/1980-5160.2018.v13n1.1197
语种：Portuguese
出版社：Universidade Federal Fluminense
摘要：In an extremely competitive market such as supplementary health, it is of fundamental importance to build advantages over competing companies. In economies of scale, one way to become competitive is to keep prices in a cluster smaller than the competition. The present study aims to show a simplified procedure for the determination of per capita care costs and also show the importance of the size of the insured group for the technical solvency charge, a direct consequence of the Large Numbers Act, first described by Jakob Bernoulli. For this purpose, historical data were used, using the Monte Carlo simulation technique. The research is classified methodologically as bibliographical, documentary and laboratory in computer environment. The data are real and were obtained from a health care provider in the city of Fortaleza. In practical terms, this study collaborated with decision-makers working in the area of supplementary health, regarding the determination of the cost of care, a component of the price to be charged by a health plan.
关键词：Health Insurance; Simulation of Monte Carlo; Actuarial Calculation