PRIVATE HEALTH INSURANCE DAY

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Program:

In the chair:

Mr. Paul WARREN, BA, ASA, FIA Actuary and Management Consultant, WARREN FAM

Mr. Ovidiu DEMETRESCU, General Manager, London Brokers

Speakers:

Mr. Mircea IFRIM, PhD, Member of the Medical Science Academy,
President, Committee for Health and Family, Chamber of Deputies

Mr. Marius COVLESCU, Ministry of Health

Mr. Dan CONSTANTINESCU, Member of ISC Council

Mr. Vasile CEPOI, General Manager, CNAS - National House of Health Insurance

Mr. Paul WARREN, BA, ASA, FIA Actuary and Management Consultant, WARREN FAM
Some considerations in the pricing of medical insurance
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Mr. Timo Van VOORDEN, CEO, INTERAMERICAN Romania
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Mr. George VALAIS, COO, INTERAMERICAN Romania

Mr. Wargha ENAYATY, General Manager, CMU-Unirea Medical Center
Integrated Medical Services
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Mr. Gabriel IONESCU, General Manager, MEDICOVER
The Risks of Private Health Insurance
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Mr. Ovidiu DEMETRESCU, General Manager, LONDON Brokers
Private medical insurance - between expectations and realities
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Topics:

Romanian private health insurance market at one year after start

• Actual stage of the legislation concerning private health insurance; the market players’ oppinion
• Top priority: definition and clear-cut division of insurable services between public and private health insurance systems

Operational issues – potential, specific risks, solutions

• Pricing in private health insurance: main issues and specific risks to be considered
• Relation between medical services providers and insurers: transparency and monitoring tools
  • reporting, budgeting, accounting, reimbursement
  • contracting with providers, marketing
  • Avoiding moral hazard

Public and/or private services: an option that has to be made

• Separation of public and private finances and practices in the units providing medical services both in public and private health insurance
• Ethical aspects concerning the patients priorities in the units providing medical services both in public and private health insurance