Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Criteria for the selection of complementary private health insurance: the experience of a large organisation in Iran

Wed Jun 19 11:48:18 2024

(2022) Criteria for the selection of complementary private health insurance: the experience of a large organisation in Iran. Bmc Health Services Research. p. 13.

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Abstract

Background Expenses related to employee's health benefit packages are rising. Hence, organisations are looking for complementary health financing arrangements to provide more financial protection for employees. This study aims to develop criteria to choose the most appropriate complementary health insurance company based on the experience of a large organisation in Iran. Methods This study was conducted in 2021 in Iran, in the Foundation of Martyrs and Veterans Affairs to find as many applicable criteria as possible. To develop a comprehensive list of criteria, we used triangulation in data sources, including review of relevant national and international documents, in-depth interviews of key informants, focus group discussion, and examining similar but unpublished checklists used by other organisations in Iran. The list of criteria was prioritised during focus group discussions. We used the best-worst method as a multi-criteria decision making method and a qualitative consensus among the key informants to value the importance of each of the finalised criteria. Findings Out of 85 criteria, we selected 28 criteria to choose an insurer for implementing complementary private health insurance. The finalised criteria were fell into six domains: (i) Previous experience of the applicants; (ii) Communication with clients; (iii) Financial status; (iv) Health care providers' network; (v) Technical infrastructure and workforce; (vi) and Process of reviewing claims and reimbursement. Conclusion We propose a quantitative decision-making checklist to choose the best complimentary private health insurance provider. We invite colleagues to utilise, adapt, modify, or develop these criteria to suit their organisational needs. This checklist can be applied in any low- and middle-income country where the industry of complementary health insurance is blooming.

Item Type: Article
Creators:
CreatorsEmail
Bazyar, M.UNSPECIFIED
Sakha, M. A.UNSPECIFIED
Gordeev, V. S.UNSPECIFIED
Mousavi, B.UNSPECIFIED
Karmi, A.UNSPECIFIED
Maniei, R.UNSPECIFIED
Attari, S.UNSPECIFIED
Ranjbar, M.UNSPECIFIED
Keywords: Private health insurance Benefits package Multi-criteria decision making Checklist Health Care Sciences & Services
Divisions:
Page Range: p. 13
Journal or Publication Title: Bmc Health Services Research
Journal Index: ISI
Volume: 22
Number: 1
Identification Number: https://doi.org/10.1186/s12913-022-08777-7
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/4242

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