- By D.L. Dunn, A. Rosenblatt, D.A. Taira, E. Latimer, J. Bertko, T. Stoiber, P. Braun and S. Busch
- SOA Monograph M–HB96–1
- This monograph reports the results of a study of the relative performance of different risk assessment methods and risk adjustment systems. It had three main objectives: 1. To compare the predictive accuracy of different risk assessment methods; 2. To compare the different risk assessment methods based on other criteria, including administrative practicality, ability to resist manipulation and "gaming" by insurers, and incentives for efficiency; and 3. To explore the potential for risk adjustment using a list of high–cost conditions.
(Date Posted – July 18, 2002) -
- SOA Monograph M–HB05–1
- This monograph contains a collection of papers presented at the Financing Chronic Care Seminar that occurred at the Society of Actuaries 2005 Spring Health Meeting in New Orleans, Louisiana. In addition to the papers, the monograph includes discussant comments on each of the papers as well as opening remarks by Dr. Joel Shalowitz. The papers were originally submitted in response to a Call for Papers issued by the SOA that sought papers examining the state of chronic care delivery in the United States. A variety of issues related to chronic care are explored in the papers and further work in this area by the SOA is anticipated.
(Date Posted – November 28, 2005) -
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- By Kyle L. Grazier and G'Sell Associates
- SOA Monograph M–HB97–1
- The goal of this research project was to create and describe a database of claims, usually related to catastrophic illnesses, of $25,000 or higher. The study used information from 1991 and 1992 from 26 insurers. The 171,000 claims studied came from a base of nearly 3 million insured for each of the two years.
(Date Posted – July 1, 2002) -
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- By Alan Cassels, Bela Gorman, Dennis Kunimura, and Jill Van Den Bos
- SOA Monograph M–HB04–1
- This monograph questions society's assessment of the value of prescription drugs and aims to drive policymakers to create more innovative value–for–money strategies for drug cost containment is now available from the Society of Actuaries. The monograph is taken from papers presented by Alan Cassels, Bela Gorman, Dennis Kunimura and Jill Van Den Bos at the Prescription Drug Symposium during the Society of Actuaries Spring Meeting and explores current issues surrounding prescription drugs.
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