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The Information and Analytical Model of the Decision-Making Process for the Development of Health Insurance Programs
Klepikova O. А., Sokolovska Z. M.

Klepikova, Oksana А., and Sokolovska, Zoia M. (2021) “The Information and Analytical Model of the Decision-Making Process for the Development of Health Insurance Programs.” Business Inform 1:119–133.
https://doi.org/10.32983/2222-4459-2021-1-119-133

Section: Economic and Mathematical Modeling

UDC 33.368

Abstract:
The article is aimed at studying and automating the stages of decision-making process for the development and implementation of health insurance products using the economic, mathematical, and simulation modeling. When analyzing the scientific works of scholars on the development of health insurance in Ukraine, the main stages of the decision-making process are allocated, the major of them are: the market need for an insurance product in the external environment; clear definition of the company’s tactical and strategic goals; examining the properties and characteristics of the insurance product; risk assessment and profitability of the insurance product. In the course of the study, the modeling of risk assessment, profitability of health insurance programs and analysis of the obtained results were carried out in detail. It is substantiated that a comprehensive analysis of the risk and profitability of health insurance programs will allow to form the necessary insurance reserves, to ensure the competitive position of an insurance company and to fulfill the targeted goals. If statistical information is available, any health insurance programs, including the COVID-19 insurance programs that require an assessment of pandemic risk, which requires special attention from both society and insurance, can be analyzed. It should be noted that modeling is a key element for assessing and managing pandemic risk. Prospects for further research in this direction are the expansion of the base of economic, mathematical and analytical models for assessing the risk of insurance portfolio and the inclusion in the simulation model of a wider range of factors of both the external and the internal environment.

Keywords: information and analytical model, decision-making, insurance risk, simulation modeling, health insurance.

Fig.: 11. Tabl.: 6. Formulae: 3. Bibl.: 17.

Klepikova Oksana А. – Candidate of Sciences (Economics), Associate Professor, Associate Professor, Department of Economic Cybernetics and Information Technologies, Odesa Polytechnic National University (1 Shevchenko Ave., Odesa, 65044, Ukraine)
Email: [email protected]
Sokolovska Zoia M. – Doctor of Sciences (Economics), Professor, Head of the Department, Department of Economic Cybernetics and Information Technologies, Odesa Polytechnic National University (1 Shevchenko Ave., Odesa, 65044, Ukraine)
Email: [email protected]

List of references in article

Sova, O. Yu. “Suchasnyi stan ta perspektyvy rozvytku medychnoho strakhuvannia v Ukraini“ [Current State and Prospects of Development of Medical Insurance in Ukraine]. Vcheni zapysky Universytetu «KROK» (2018): 80-91. DOI: https://doi.org/10.31732/2663-2209-2018-49-80-93
Ofitsiinyi sait Vsesvitnyoi orhanizatsii okhorony zdorov'ia. http://www.who.int
[Legal Act of Ukraine] (1996). http://zakon5.rada.gov.ua/laws/show/254к/96-вр#Text
Tlusta, H. “Medychne strakhuvannia v reformuvanni systemy okhorony zdorovia“ [Health Insurance in Health Reform in Ukraine]. Visnyk Kyivskoho natsionalnoho universytetu imeni Tarasa Shevchenka. Seriia «Ekonomika». 2014. http://bulletin-econom.univ.kiev.ua/wp-content/uploads/2015/11/156_65-70.pdf
Tkachenko, V. N., and Vodolazka, O. A. “Dyskusiini pytannia teorii strakhovoho portfelia“ [Discussion Issues of Insurance Portfolio Theory]. Finansovyi prostir. 2015. https://ofp.cibs.ubs.edu.ua/files/1503/15voadpt.pdf
Yevtushenko, T. P. “Modeliuvannia medychnoho strakhuvannia iz vykorystanniam systemno-dynamichnoho pidkhodu“ [Modeling of Health Insurance Using a System-dynamic Approach]. Visnyk Kyivskoho natsionalnoho universytetu imeni Tarasa Shevchenka. Seriia «Ekonomika». 2009. http://bulletin-econom.univ.kiev.ua/wp-content/uploads/2016/01/114_3.pdf
Smirnova, V. L., Panchyshyn, N. Ya., and Holiachenko, A. O. “Matematychne modeliuvannia protsesiv upravlinnia okhoronoiu zdorovia“ [Mathematical Modeling of Healthcare Management Processes]. Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorovia Ukrainy, no. 2 (2016): 52-58. DOI: https://doi.org/10.11603/1681-2786.2016.2.6741
Klepikova, O. A. “Otsinka prybutku strakhovoi kompanii zasobamy imitatsiinoho modeliuvannia“ [Estimate of Insurance Companie's Profits Using Computer Simulation]. Visnyk Kyivskoho natsionalnoho universytetu imeni Tarasa Shevchenka. Seriia «Ekonomika», no. 9 (2014): 89-95.
Sokolovska, Z., Klepikova, O., and Cherkasova, T. “An insurance company as an element of sustainable development of the state socio-economic system: Ukraine insurance companies case study“. Rivista di Studi Sulla Sostenibilita, no. 2 (2019): 53-72. DOI: 10.3280/RISS2019-00200
Klepikova, O. et al. “Analiz holovnykh pokaznykiv finansovoi stiikosti strakhovoi kompanii z vykorystanniam imitatsiinoho modeliuvannia“ [Analysis of the Main Indicators of the Insurance Company's Financial Stability Using Simulation Modelling]. Visnyk Kharkivskoho natsionalnoho universytetu imeni V. N. Karazina. Seriia «Ekonomichna», no. 96 (2019): 80-94. DOI: https://doi.org/10.26565/2311-2379-2019-96-09
Kozmenko, O. V., and Kuzmenko, O. V. Aktuarni rozrakhunky [Actuarial Calculations]. Sumy: Dilovi perspektyvy, 2011.
Kinash, O. M., Sokorinskyi, V. M., and Papka, M. V. Osnovy aktuarnykh rozrakhunkiv [Basics of Actuarial Calculations]. Lviv, 2012.
“Forinshurer - elektronnyi zhurnal pro strakhuvannia“ [Forenschurer Is an Electronic Magazine about Insurance]. https://forinsurer.com/
Sokolovska, Z. M., and Klepikova, O. A. Kompiuterne modeliuvannia skladnykh ekonomichnykh system [Computer Modeling of Complex Economic Systems]. Odesa: Astroprynt, 2011.
Sokolovska, Z. M., and Yatsenko, N. V. “Systemno-dynamichni modeli v prohnozuvanni rozvytku skladnykh ekonomichnykh system“ [System-dynamic Models in Forecasting Development of Complex Economic Systems]. Biznes Inform. 2014. https://www.business-inform.net/export_pdf/business-inform-2014-5_0-pages-121_132.pdf
Balytska, M. V. “Metodyka otsinky finansovoi stiikosti strakhovoi kompanii“ [Methodology for Assessing the Financial Stability of an Insurance Company]. Fynansovye usluhy, no. 5 (2017): 32-35.
Lanh, S. R. “Strakhovyi portfel yak obiekt upravlinnia v systemi ryzyk menedzhmentu strakhovyka“ [Insurance Portfolio as an Object in the Risk-Management System of Insurer]. Visnyk Khmelnytskoho natsionalnoho universytetu. Seriia «Ekonomichni nauky». 2017. http://journals.khnu.km.ua/vestnik/pdf/ekon/pdfbase/2017/2017_5/jrn/pdf/42.pdf

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