Research report sponsored by SOA to model and compare projected costs of different proposals for a Medicare prescription drug coverage plan. 3 types of costs are studied: net benefit cost estimates per member per month, continuance table data, and projected annual costs to the government over 10 years for two selected plan designs.

Complexity science and its primary tool, agent-based simulation modeling, are potent new ways to understand and help manage health systems. Alan Mills will introduce you to his recent research about simulating health system behavior, and show you how to use agent-based simulation models, together with results from behavioral economics, to address complex health system problems.

Complexity science and its primary tool, agent-based simulation modeling, are potent new ways to understand and help manage health systems. Syed Mehmud and Alan Mills will show you how to use agent-based simulation models, together with results from complexity science and behavioral economics, to address problems related to health insurance exchanges. In this session, you will learn: • How to identify exchange problems that are amenable to agent-based simulation modeling • How to use agent-based simulation modeling, together with results from complexity science and behavioral economics, to address exchange problems.

A study of claims cost variation by policy duration fo rindividual medical insurance. The report presents results for single vs. family contracts with long-form underwriting, based on approximately $1.3 billion in incurred claims data provided by seven carriers, for incurral years 2001 through 2003.

Presentation from the SOA 09 Annual Meeting moderated by Ms. Heijde describe a model of anti-selection and optimal pricing of individual and small group health insurance policies. Slides provide some rather rich content on loss ratios, individual vs. group market differences, and graphically represented claim costs by age.

This session will examine the role of modeling in actuarial work, with concepts borrowed from the social sciences. We will discuss the various uses of models, including models employed for their predictive power, and inspect how traditional and innovative actuarial modeling practices relate to each other. Finally, the audience will be presented with specific predictive models in hopes of demystifying the “new” frontier of predictive modeling.This session offers insight on how advanced business analytics techniques such as predictive analytics help companies better manage risk. From the 2012 SOA Annual Meeting.

The traditional (nurse-telephonic disease management) model of chronic management is being revised, based on disappointing outcomes and new requirements imposed by Health Reform. In this session three speakers will describe different innovative models, including early and promising outcomes: employer-and clinic-based models; provider-based (as part of an ACO) and technology-based programs.

Presentation from the SOA 09 Annual Meeting moderated by Ms. Heijde describe a model of anti-selection and optimal pricing of individual and small group health insurance policies. Slides provide some rather rich content on loss ratios, individual vs. group market differences, and graphically represented claim costs by age.

Social, mobile, analytics and cloud (SMAC) are transforming every industry they encounter: travel, retail, finance, media, publishing, gaming, etc. Health care now has begun to experiment with SMAC to enable the emergence of consumer health care, where consumers and patients become more engaged in understanding their health, change their behaviors toward healthier ones, become rewarded in many different ways for healthy habits, perform more self-care, and receive virtual care in space rather than having physical care in a place. SMAC will enable more people to receive higher quality of health care services and outcomes at a fraction of the historic costs.

Microsoft SharePoint is often known as Microsoft Office SharePoint Server because it is designed to fully integrated with Microsoft Office suite. This article describes how SharePoint can extend Excel beyond its desktop capacity and use as an enterprise product.