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Actuarial lessons learned from the iCHF

Calculating fair and cost-efficient health insurance premiums in data-limited settings.

This brief illustrates the actuarial considerations behind calculating a health insurance premium in Northern Tanzania and dealing with the data limitations in this setting. As this was a new program and no data was available yet, initial calculations were largely based on data from comparable programs and target group studies. As the insurance program expands over time and utilization data are collected, assumptions can be evaluated and adjusted to ensure the sustainability of the program. 


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