Open AccessOptimal reinsurance based on compound Poisson distribution
Author(s) -
Anna Chadidjah,
Lienda Noviyanti,
Achmad Zanbar Soleh
Publication year - 2019
Publication title -
journal of physics. conference series
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 85
eISSN - 1742-6596
pISSN - 1742-6588
DOI - 10.1088/1742-6596/1317/1/012022
Subject(s) - credibility , reinsurance , agency (philosophy) , government (linguistics) , poisson distribution , business , health care , social security , distribution (mathematics) , actuarial science , service (business) , economics , marketing , statistics , mathematics , political science , economic growth , sociology , market economy , mathematical analysis , social science , linguistics , philosophy , law
BPJS Kesehatan (BPJS-Health) is a public agency for health, established to implement the social security program. The health insurance prepared through BPJS is in the form health protection for participants to get health care benefits and protection to meet the basic needs of health care. It is provided to every person who has paid fees or whose contributions are paid by the government. Claims estimation in BPJS-Health is required to increase the optimal service to participants. Imprecision in determining such estimates could destabilize the BPJS-Health. In this research, estimated total health service claims submitted by partnered health facility to BPJS based on Buhlmann-Straub Credibility. We also use the compound Poisson distribution to illustrate the optimal retentions in a collective risk model.