Rising Medical Insurance Premiums (2) – Why Small Claims and Big Tails Matter?
Bank Negara Malaysia has announced interim measures to address rising medical insurance premiums. While I can’t foresee how some of these measures will resolve the underlying issues, I am particularly curious to see how the Diagnosis Related Group ("DRG") payment model might help tackle the root cause. Reflecting on my experience with my first actuarial employer, I recall being responsible for preparing claim analyses for individual medical insurance. One of the more interesting aspects of this work was constructing claim distributions based on actual experience. While the results were typically presented in tables, I often created histograms to better illustrate the distribution – in my opinion, the visual representation provided deeper insights into the claim patterns.