(a) Validity of Assumptions
Management of health micro-insurance scheme should ensure that operational procedures are in place. These can be compiled in a document that is periodically reviewed and updated. A key ingredient of good management is the integrity of the data that is available to prepare management reports and for planning.
Sustainability of any insurance business depends greatly on the validity of the assumptions on which premiums are based. The important elements for supporting these assumptions are:
1. Accurate historical data
2. Projections of future trends of utilization of services
3. Membership levels and
4. Costs of services
(b) Role of Stakeholders
The success and viability of the scheme also depends on the interaction of all various stakeholders and their mutual understanding of their role in the success of the scheme. The stakeholders of the scheme include:
The various Stakeholders of the Health Micro-Insurance are:
- Members or clients of the scheme
- Staff involved in working in the implementation of the scheme
- Health service providers to the clients or members of the scheme
- Community leaders
- Government and other regulatory authorities.
