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Volume 330:500-502 February 17, 1994 Number 7
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I Had a Tough Day Today, Hillary

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My main office is different from that of most physicians: I am assistant medical director for a very large insurance company. We administer self-insured accounts, as well as conventional, minimal-premium, and experience-rated health care policies. With conventional insurance, the carrier establishes appropriate rates and collects the premiums at the beginning of the month. If the year's claims are lower than expected, the insurance company makes a profit; if there are losses, the insurance company absorbs them. With minimal-premium insurance, the client deposits a set amount of funds with the insurance company each month, and the insurer pays claims from these . . . [Full Text of this Article]

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Related Letters:

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N Engl J Med 1994; 331:329-331, Aug 4, 1994. Correspondence

. . . And How the Decisions Are Made
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