A case study: Risk adjustment in the UK PMI market

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By Joanne Buckle, Tanya Hayward, Natasha Singhal | 15 March 2018

Developing a robust population stratification methodology in the UK private insurance market (PMI) environment has some challenges. There is limited primary care coverage for chronic conditions or emergency and maternity coverage.

This case study discusses risk adjustment techniques in the context of UK PMI and how Milliman’s Chronic Conditions Hierarchical Grouper™ tool has been applied successfully in this environment.