Description: This article discusses the advantages, logistical concerns, and pricing formulas of implementing a TNHP, in which members pay less for treatment from providers who meet higher quality and cost-effectiveness standards.

Description: Four appendices are attached to the monograph: a letter requesting information, two letters requesting participation, and a set of general database specifications. From Group Medical Insurance Large Claims Database Collections and Analysis, M-HB97-1.

Description: From a teaching session at the 2000 Valuation Actuary Symposium held in Washington DC, September 14-15, 2000 Discussion of realistic liability models for use in asset adequacy analysis, asset/liability management, pricing/repricing, financial reporting, or other purposes.

Description: A new health insurance pricing model takes external market prices into account, as well as regulatory rate restrictions and other traditional pricing factors. Rather than being assumed at the outset, lapse rates emerge from the model, along with assessment spiral & loss ratio projections. Under the model optimal pricing strategy depends on whether the class being rated has a healthier than average mix of risks.

Description: Following up on recent articles on claim reserves and retrospective testing, this article examines some data quality and methodology issues related to calculating LTCI claim reserves.

Description: The editors preview the articles in the February 2010 issue of Health Watch.

Description: This presentation is a Teaching Session, number 46TS, from the 2002 Valuation Actuary Symposium, held September 19-20 in Lake Buena Vista, FL. In this session, the instructor discusses simple tools and guidelines to ensure that correct inferences are drawn. The material is presented without using complex mathematical formulas. Topics include application of a normal distribution—when it is appropriate and when it is not, drawing inferences about and creating confidence intervals around tail percentile, and Monte Carlo Simulations for Regulation XXX.

Description: This presentation is a concurrent session from the 1991 Meeting of the Society of Actuaries, held April 18-19 in New Orleans. The panel will discuss the approaches and techniques used for pricing and modeling insurance products, including commercial software, internal systems, maintenance issues, staff training, and asset/liability systems. Discussion from participants is included. From the Record of Society of Actuaries, Volume 17, No. 1.

Description: Panel discussion of alternative approaches to the design of reserve standards, to include those topics discussed in several recent papers and committee reports.

Description: Discusses a method for division of workload in a consulting firm in a way which will minimize cost.