• Title/Summary/Keyword: Claim Management

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A Study on the Impact of Patent Quality on the Firm's Market Value (특허의 질적 가치가 기업의 시장가치에 미치는 영향에 관한 연구)

  • Jeong, Jae-kwan;Kim, Byung-Keun
    • Journal of Technology Innovation
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    • v.25 no.3
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    • pp.265-297
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    • 2017
  • As corporate management enters the era of informatization or knowledge management, the level of patent quality, which is the fruit of R&D and technical innovation, is an important element of corporate competitiveness in this age of unbridled competition. This study analyzes the relevance between R&D stocks and 6 types of knowledge stock (patent quality) and corporate market values in utilization of related research models. With Tobin Q model utilized, 108,851 U.S. patents (observed value per year: 2,795) registered by 402 domestic enterprises were analyzed. As the Hall model was analyzed, it turned out that the R&D stock/asset, claim stock/patent stock, and citation stock/patent stock had positive effect on corporate market values. The inventor stock/patent stock also show positive effect on corporate market values.

Investigating the Level of Competition between Public Health Centers and Private Clinics in Korea

  • Kim, Hyun Joo;Lee, Jin Yong;Jo, Min-Woo;Eun, Sang Jun
    • Korea Journal of Hospital Management
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    • v.21 no.2
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    • pp.37-49
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    • 2016
  • The purpose of this study is to investigate the level of competition between Public Health Centers (PHCs) and private clinics (PCs) by examining the number of patients that used PHCs vs. PCs, estimating the total amount of revenue generated from outpatient services at both PHCs and PCs, thereby analyzing the financial impacts on PCs derived from the PHCs. We utilized 2011 National Inpatient Sample data (NIS). Using the 20 table containing general information on each individual claims, we integrate it with the 40 table which contains all the diagnostic codes for each claim. Then, we disaggregate the bundled claims into the original individual claims. Overall, 3.1% of outpatient visits are made at PHCs while the rest was made at the PCs (96.9%). Among the total claim costs of 6.34 billion USD (as of 2011), PHCs occupy 2.0% (124 million USD), and 98.0% are contributed to PCs (6.21 billion USD). The estimated economic losses of PCs due to PHCs are summarized as follow; the maximum potential loss is estimated at 198 million USD in total and 7,099 USD per clinic when we include all patient types; the minimum loss is estimated at 71 million USD in total and 2,540 USD per clinic where Medical Aid recipients and the elderly (aged 65 and over) are excluded. Our results confirm the potential economic effect on PCs due to PHCs providing outpatient services. PCs and PHCs are the most important players providing primary care in Korea. Unnecessary competition between PCs and PHCs is not desirable. Health authorities should carefully examine the healthcare services currently provided by PHCs and their impacts on PCs.

A Taxonomy of Geriatric Hospitals Using National Health Insurance Claim Data (건강보험청구자료로 본 요양병원의 기능 유형)

  • Min Kyoung Lim;Sun-Jea Kim;Jeong-Yeon Seon
    • Korea Journal of Hospital Management
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    • v.28 no.2
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    • pp.9-20
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    • 2023
  • Purpose: This study classified the actual functions of geriatric hospitals and examined the differences in their characteristics, in order to provide a basis for discussions on defining the functions of geriatric hospitals and how to pay for care. Methodology: This study used various administrative data such as health insurance data and long-term care insurance data. Cluster analysis was used to categorize geriatric hospitals. To examine the validity of the cluster analysis results, we conducted a discriminant analysis to calculate the accuracy of the classification. To examine cluster characteristics, we examined structure, process, and outcome indicators for each cluster. Findings: The cluster analysis identified five clusters. They were geriatric hospitals with relatively short stays for cancer patients(cluster 1; cancer patient-centered), geriatric hospitals with relatively large numbers of patients using rehabilitation services(cluster 2; rehabilitation patient-centered), geriatric hospitals with a high proportion of relatively severe elderly patients(cluster 3; severe elderly patient-centered), geriatric hospitals with a high proportion of mildly ill elderly patients with various conditions(cluster 4; mildly ill elderly patient-centered), and geriatric hospitals with a significantly higher proportion of dementia patients(cluster 5; dementia patient-centered). The largest number of geriatric hospitals were categorized in clusters 4 and 5, and the structure and process indicators for these clusters were generally lower than for the other clusters. Practical Implications: We have confirmed the existence of geriatric hospitals where the medical function, which is the original purpose of a geriatric hospital, has been weakened. It has been observed that the quality level of these geriatric hospitals is likely to be lower compared to hospitals that prioritize enhanced medical functions. Therefore, it is suggested to consider the conversion of these geriatric hospitals into long-term care facilities, and careful consideration should be given to the review of care-giver payment coverage.

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The Common Temporary Work Management System Using Historical Database (실적 데이터베이스를 활용한 공통가설공사 관리 시스템 개발)

  • Park Kyoung-Ho;Lee Hoon-ku;Baik Jong-Keon;Kim Jae-Jun
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.367-370
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    • 2002
  • The Elements of common temporary work in Construction Project have ambiguous work scope between client and builder. Also problems of non-breakdown, non-standardization in common temporary work are obstructive when contract. Finally they will be reached claim factors on the construction project. Because the common temporary work information management system is not built, We have to develop common temporary work information management system based on historical cost database for Construction Management. This system will successively accomplish the project in pre-construction step to standardize work items and to forecast the cost of common temporary work. Therefore feasibility study will be possible with historical database in new project.

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Management Strategies for Medical Expenses Depending on Type of Diseases for Patients of Seafarers Insurance - Focused on Busan - (선원보험 수진자의 상병유형에 따른 진료비 관리방안 - 부산지역을 중심으로 -)

  • Park, Eun-Ha;Hwang, Byung-Deog
    • The Korean Journal of Health Service Management
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    • v.10 no.4
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    • pp.1-11
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    • 2016
  • Objectives : The aim of this study is to investigate the actual condition of the occurrence and recovery of medical expenses through seafarers insurance and to provide basic data that will be helpful in the establishment of efficient hospital management strategies for medical expenses of insurance companies depending on the type of seafarers insurance. Methods : Three general hospitals located in Busan, Korea, were selected, and seafarers insurance claim data was collected from January 1, 2012 to December 31, 2013(24 months) and analyzed. There were 5,490 cases in total. Results : There was a significant difference in the distribution of disease incidence, accrued medical expenses, reimbursement of medical expenses, and the actual condition of medical receivables depending on the insurance company. Conclusions : Therefore, differentiated payback strategies for medical expenses are needed that consider the various seafarers insurance companies and their treatment characteristics.

An Integrated Expert Model for Delay Management in Construction Projects

  • jalal, Majid Parchami;Yousefi, Elham
    • Journal of Construction Engineering and Project Management
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    • v.7 no.3
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    • pp.1-14
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    • 2017
  • Delay claim should actually be supported by a set of proper information so that the contractors could prove their validity. The so-called information should be able to clarify the relationship between delay events and how they impact on the whole project. Therefore, exploiting an integrated system by people who are involved in construction business would certainly prove helpful. In the present study, delay analysis methods have been investigated along with selecting a relatively comprehensive method which has been modified, and eventually, a novel model and its required modules have been proposed for evaluating delay claims. The suggested integrated model is formed to identify delayed events, to classify delays, to measure the impacts of delays on the project scheduling, and finally to estimate the damages which were caused by those so-called delays. A decision support system (DSS) model which is related to the integrated system is actually extracted from Iran's general contract conditions, that is, 4311 magazine (equivalent to red FIDIC book). It is then programmed and coded by C# program. This DSS model can be used as an input of Easy Plan program. In addition, at the end of this research, the coded DSS has been used along with the so-called program so that a modified and developed model could be generated.

Two­Dimensional Warranty Data Modelling (2차원 품질보증데이터 모델링)

  • Jai Wook Baik;Jin Nam Jo
    • Journal of Korean Society for Quality Management
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    • v.31 no.4
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    • pp.219-225
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    • 2003
  • Two­dimensional warranty data can be modelled using two different approaches: two­dimensional point process and one­dimensional point process with usage as a function of age. The first approach has three different models. First of all, bivariate model is appealing but is not appropriate for explaining warranty claims. Next, the rest of the two models (marked point process, and counting and matching on both directions independently) are more appropriate for explaining warranty claims. However, the second one (counting and matching on both directions independently) assumes that the two variables (variables representing the two­dimensions) are independent. Last of all, one­dimensional point process with usage as a function of age is also promising to explain the two­dimensional warranty claims. But the models or variations of them need more investigation to be applicable to real warranty claim data.

Black-Scholes Option Pricing with Particle Swarm Optimization (Particle Swarm Optimization을 이용한 블랙 슐츠 옵션가격 결정모형)

  • Lee, Ju-Sang;Lee, Sang-Uk;Jang, Seok-Cheol;Seok, Sang-Mun;An, Byeong-Ha
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2005.05a
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    • pp.753-755
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    • 2005
  • The Black-Scholes (BS) option pricing model is a landmark in contingent claim theory and has found wide acceptance in financial markets. However, it has a difficulty in the use of the model, because the volatility which is a nonlinear function of the other parameters must be estimated. The more accurately investors are able to estimate this value, the more accurate their estimates of theoretical option values will be. This paper proposes a new model which is based on Particle Swarm Optimization (PSO) for finding more precise theoretical values of options in the field of evolutionary computation (EC) than genetic algorithm (GA)or calculus-based search techniques to find estimates of the implied volatility.

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The Conception & Fail-Mode Analysis of PTC Thermistor for Over-Current Protection (PST측면에서의 과전류 보호용PTC 소자의 개념 정립 및 Failure-Mode 분석)

  • 박준호
    • Proceedings of the Safety Management and Science Conference
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    • 2001.05a
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    • pp.67-75
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    • 2001
  • Circuitry to be connected to a Telecommunication Network consists of SELV CIRCUITS or TNV CIRCUITS. So International Standards, like as ITU-T Recommendation K.11, UL 1950, CSA C22.2 950 have been taken to reduce the risk that the Overvoltages from the power lines and from electrictraction lines, that may be received from the telecommunication network. Legal requirements may exist regarding permission to connect equipment having PTC components to a telecommunication network. Surge suppressors that bridge the insulation shall have a minimum d.c. sparkover voltage of 1.6 times the rated voltage or 1.6 times the upper voltage of the tared voltage range of the equipment. If left in place during electric strength testing of insulation, they shall not be damaged. In this work, The Conception & Fail-Mode Analysis of PTC components for Over-Current Protection is proposed. It guarantees the protection for PL Claim about this Subject.

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Nonparametric Analysis of Warranty Data on Engine : Case Study (엔진에 대한 품질보증데이터의 비모수적 분석 사례연구)

  • Baik, Jai-Wook;Jo, Jin-Nam
    • Journal of Korean Society for Quality Management
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    • v.34 no.1
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    • pp.40-47
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    • 2006
  • Claim history data of rather long period were collected to assess reliability and warranty cost analyses. The data were appropriately organized to be used for further statistical analyses. For each critical component, nonparametric statistical method was applied to obtain reliability plot. Hazard plots of the components in a subsystem or system level were also obtained. Competing risk model was assumed to obtain the performance of the subsystem or system level.