• Title/Summary/Keyword: Claim Management

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A Basic Study on the Improvement for Liquidated Damages at Construction Delay (지체상금 개선방안에 관한 기초연구)

  • Kook, Dong-Hoon;Son, Ki-Young;Kim, Sun-Kuk
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2006.11a
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    • pp.458-461
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    • 2006
  • With the opening in construction market, more diversified and internationalized construction culture is imported, but the level of our construction culture and policy is still not met the international standards. For example, there is a difference in the liquidated damages at delay due to the reason of builder imputation during the public construction project comparing the international standards like damages. It may lead to the potential claim. In this study, via comparing and analysis on the relevant international standards and extension expense for terms of work, actual compensation is selected, and improvement of liquidated damages like damages is presented.

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The Calculation of the Effected Rate in Medical Insurance Fee Schedules according to Fluctuation of Foreign Currency Exchangerate through Cost Analysis in a University Hospital (환율변동에 따른 의료보험 진료수가의 영향률 산출 - 한 대학병원의 원가분석을 중심으로 -)

  • 박은철;박웅섭;김소윤;김한중;손명세;임종건;김영삼
    • Health Policy and Management
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    • v.8 no.2
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    • pp.76-87
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    • 1998
  • This study analyzed the effect of foreign currency exchange rate on the increasing rate of medical care cost by items of fee schedule of Korean Medical Insurance. This study uses the data of cost analysis including cost of imported goods and the data of for a university hospital National Federation's Medical Insurance for a trend of claim. The method of cost analysis is as same as that used in the study of the development of Korean RBRVS(Resource Based Relative Valus Scale). The main findings of this study are as follows; 1. The proportion of imported goods in cost related to Medical Insurance fee schedule is 7.93%, and in case of substitution of available domestic goods 6.96%. 2. If foreign currency exchange rate changes from 800wen per $1 to 1,300won, the affecting rate of Medical Insurance fee schedules is 5.00%. If the imported goods will be substituted with available domestic goods, the rate 4.35%. Our results can be used a data for updating Medical Insurance fee schedule. But this result is limited to be generalized, because this study used the cost analysis for a university hospital.

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Evaluation on Bankruptcy Prediction Model of Hospital using the comparative Analysis of Financial Index (재무지표 비교 분석에 의한 병원도산예측모형 평가)

  • Kim, Jae-Myeong;Ahn, Young-Chang
    • Health Policy and Management
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    • v.15 no.4
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    • pp.81-109
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    • 2005
  • According to many recent studies suggesting that cash flow analysis method tends to be more effective than traditional financial index analysis method to predict corporate bankruptcy, this study applies the cash flow analysis method to hospital business to identify the significant variables which can distinguish between superior hospitals and bankruptcy hospitals. The author analyzed recent 3 years, i.e. from the year of 2000 to the year of 2002, financial statements of 31 bankrupt hospitals In 2003, and the same number of superior hospitals through using Multiple Discriminant Analysis and Logit Analysis. The results are belows; First, the study releases that Logit Analysis is more likely to be effective than Multiple Discriminant Analysis. Second, this research also shows that traditional financial index analysis method is more superior compare to cash flow analysis method for hospital bankruptcy predict model. Finally, this study suggest that the significant variables, which can distinguish superior hospitals from bankrupt hospitals, are Operating/Current Liabilities$(Y_2)$, CFO/Equity$(Y_5)$ for cash flow analysis method and Net Worth to Total Assets Ratio$(X_1)$, Quick Ratio $(X_3)$, Return on Assets$(X_6)$, Growth Rate of Patient Revenues$(X_{16})$ for traditional financial index analysis method.

A calculation method on the loss of labor productivity due to change orders (설계변경으로 인한 작업 생산성 손실 산정방법)

  • Jeon Yong-Deok;Lee Jae-Seob
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.295-300
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    • 2001
  • Additional costs as well as schedule delay are occurred due to change orders in today's construction projects. Additional costs, overhead calculation methods are of various types. In a foreign country cases, many claims related to the loss of labor productivity quote research statistics data. In domestic cases, the study of the reason why the loss of labor productivity occurs and its effect have not been performed. Therefore, this paper analyzes factors affecting lost productivity and a methodology is presented to estimate the lost productivity.

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Analysis of Network Neutrality in Two-sided Markets Using Game Theory (게임이론에 의한 양면시장에서의 망중립성 분석)

  • Oh, Hyung Sool;Lee, Jae Ha
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.41 no.3
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    • pp.162-169
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    • 2018
  • Net neutrality, which has not been a problem, has recently become a problem for ISPs (Internet Service Providers), and their complaints have been paid by domestic platform companies, but overseas global IT companies such as Google and YouTube, generate huge revenues from domestic markets. In this situation, domestic IT companies claim that it is natural to impose more expensive charges or restrict speed on users who generate huge traffic. On the other side, however, the telecommunication network has become an essential public good that is essential to our everyday life, and because it has been given a monopoly position by a private company to efficiently respond to the explosive demand for telecommunication services, It is necessary to provide equal and universal service and fulfill public duty. In this paper, we deal with the network neutrality problem, focusing on the price elasticity between the CP (Contents Provider) and the ISP, rather than the user who is one side of the two-sided market for the already saturated satellites communication market. We present a game model that determines the optimal price for each platform by Nash equilibrium and analyze how the net neutrality affects CP according to the change of exogenous variables through the proposed game model.

A Basic Study on Quantification Model Development of Human Accidents based on the Insurance Claim Payout of Construction Site (건설공사보험 사례를 활용한 건설현장 인명사고 정량화 모델 개발 기초연구)

  • Ha, Sun-Geun;Kim, Tae-Hui;Kim, Ji-Myong;Jang, Jun-Ho;Son, Ki-Young
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2017.11a
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    • pp.195-196
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    • 2017
  • The number of human accidents in the construction industry is increasing every year, and it constitute the highest percentage among industry. This means that activities performed to prevent safety accidents in the country are not efficient to reduce the rate of accidents in the construction industry. In order to solve this issue, research has been conducted from various perspectives. But, research regarding to quantification model of human accidents is insufficient. the objective of this study is to conduct a basic study on quantification model development of human accidents. To achieve the objective, first, Cause of accident is defined the through literature review. Second, a basic statistic analysis is conducted to determine the characteristics of the accident causes. Third, the analysis is conducted after dividing into four categories : accumulate rate, season, total construction cost, and location. In the future, this study can be used as a reference for developing the safety management checklist for safety management in construction site and development of prediction models of human accident.

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A Study on the Improvement Contract System of to Prevent Domestic Public Construction Claims (국내의 공공건설 클레임 예방을 위한 계약제도 개선방안 연구)

  • Jung, Min-Jung;Cho, Young-Jun
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2007.11a
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    • pp.239-242
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    • 2007
  • Many contractors have overlooked the construction contract general conditions and it was a bad construction practice. Today, construction project is very complex and complicated. This requires a networked contract document and results in a complicated contract conflict hardly to be solved. Therefore, to reduce the construction dispute and to enhance construction practice, clarification of definition of Owner, several conditions to be revised, insertion of design supervision were suggested in this paper.

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A Case Study of Process Innovation for e-Business Transformation: Lessons Learned from a Korea-Based Leading P&C Insurance Company (국내 손해 보험사의 e-Business 기업 혁신 사례 연구)

  • Kim, Seung-Eon;Park, Ju-Seok;Kim, Jae-Kyeong
    • Journal of Information Technology Services
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    • v.5 no.1
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    • pp.17-34
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    • 2006
  • As insurers have undergone changing customer expectations, increased cross-industry competition and restructured distribution channels, they need to enhance customer relationships, cut costs, increase agility and streamline operations while differentiating the core competency. As such, the importance of e-business transformation has increased where organizational core processes are restructured around customers and interned-based technology is adopted for flexible and adaptive information systems. This paper presents a case study of process innovation for e-business transformation in a Korea-based leading property & casualty insurance company. The company initiated three years-long e-business transformation program to remain competitive and to keep sustainable growth under risky and down economy. The program, which covered enterprise-wide business processes such as product, marketing & sales, customer, claim, investment & loan, accountings, etc., included redesigning processes from customers' viewpoint and then implementing process-aligned information systems. Leadership, sponsorship, change management, performance measurement, business and IT alignment, empowerment, and customized methodology, were emphasized throughout the program. As a result, the company could expect not only improvements in customer-centricity, sales productivity, and operational excellence but also increased revenues and profits in the next three years. The presented case addresses a feasible approach for enterprise-wide e-business transformation. Although the strategies, actions, and business and IT models are not described in detail due to confidentiality, the methodology and the success factors would be applicable to other insurers and possibly organizations in different industries.

The Relationship between Medical Operating Income and Volume of Medical Services Provided at General Hospitals in Korea (종합병원에서 진료량과 의료이익의 관계)

  • Lim, Min Kyoung;Kim, Jeongha;Kim, Sunjea
    • Korea Journal of Hospital Management
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    • v.26 no.3
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    • pp.13-27
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    • 2021
  • Purpose: We examined the relationship between operating income and volume of medical services provided at general hospitals in 2018 according to characteristics of general hospitals and measured as operating income(net income) and volume(adjusted inpatient days) covered or non-covered by National Health Insurance(NHI). Methodology: Finance data from income statement reports in 212 general hospitals and the national health insurance claim data of these hospitals were used. The characteristics of the general hospital were divided into structural, operational, financial, and patient aspects. Operating income and volume were divided into covered and non-covered by NHI. Findings: The results showed high volume hospitals tended to be more profitable than low volume hospitals, especially in non-covered services. Operating income was more likely to be sensitive to non-covered services volume than to covered services volume. Practical Implications: It is necessary to understand the volume of services in non-covered, in order to obtain reliable cost information to be used for the fee schedule. Researches on small size hospitals(<160 beds) are needed, with a large variation in the volume of services and a strong tendency to compensate for the loss in the covered part in non-covered part.

Interaction Evaluation of Maintenance Management Organization Affecting Satisfaction of Users in Helpdesk Service of Buildings (건물의 헬프데스크 서비스에서 사용자의 만족도에 영향을 미치는 유지관리조직의 상호작용 평가)

  • Kwak, Ro-Yeul;Kwon, Suh-Hyun;Chun, Chung-Yoon
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.35 no.4
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    • pp.193-200
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    • 2019
  • Maintenance services provided to users in buildings are not sufficient simply to provide them, but it is necessary to provide them with a service system that can accurately identify and respond to users' needs. This study analyzed the relationship between user satisfaction with the helpdesk service corresponding to the building claim and the quality of service of the maintenance organization to identify the interaction between the user and the maintenance organization in the building. We then examined whether there were significant differences between the buildings in terms of variables in the helpdesk service that affect the user's satisfaction. It was also presented as a measure of the quality of service of the SERVQUAL tool to assess the potential for building maintenance response strategies. Research shows that each building has a helpdesk service item that is significant in user satisfaction and empathy has emerged in a typical dimension as SERVQUAL dimension.