Description: Article discussing how the pursuit of value-based care as a consequence of health care reform laws such as the Affordable Care Act (ACA) and the Medicare Modernization Act has accelerated the use of risk adjustment and what it means to actuaries.

Description: This paper discusses the quality of healthcare verses the price of healthcare and puruses individuals and doctors making decisions for their own healthcare costs and services.

Description: A dinner speech at the Actuarial Research Conference at Drake University, Des Moines IA summer 2023. A ramble through 50 years of experience with actuarial research.

Description: Editor’s Column by Ian Duncan from Smaller Consulting Firm Section, June 2003, Issue No. 2.

Description: Evaluating the success of Disease Management Programs by looking at ROI and the risk management economic model. Issue No. 46.

Description: This presentation, session number 89PD, took place at the 1999 Spring Meeting of the Society of Actuaries, held May 24-25 in Atlanta. Panelists discuss issues and challenges facing organizations wishing to sell insurance and financial products over the Internet. Topics include regulatory issues facing on-line marketing and sales initiatives, security of the information provided online, “bought” versus “sold” products, and receptiveness of users. Discussion from participants is included. From the Record of the Society of Actuaries, Vol. 25, No. 1.

Description: This article is a review of the book, Insurance Coverage for All...And How Insurers Can Afford To Provide It, by Maria Thomson. The book focuses on the lack of penetration by life insurance companies into the middle market noting the issues and providing suggested solutions.

Description: Since the world in which actuaries work is both expanding (through 'data science' opportunities) and contracting (since 'data scientists' are doing work formerly done by actuaries), the role of education actuaries is at a tipping point. Members of the Society who are in higher education and representatives from the business community will discuss ways in which the two worlds of business and education have worked together in the past, what can be done by each group to assist the other, and what the future may hold.

Description: This chapter introduces a few probability distributions that play an important role in understanding and analyzing healthcare data. While theoretical in nature, these distributions model real life if appropriately chosen. Probability distributions are mathematical representations of how statistical data behave.

Description: What’s New in Disease Management Medicare Modernization Act, certification of DM outcomes, DM publications. Issue No. 48