Description: This report provides morbidity experience under Individual Loss-of-Time policies, 1974-1975.

Description: Learn about key actuarial and analytic tools and methodologies used by commercial health insurance to identify and quantify drivers of healthcare cost and utilization (including wasteful and low-value ones) and risks. Use case scenarios in which these tools and methodologies apply, such as underwriting, reinsurance, medical management for population health and chronic diseases, managed care contracting, insurance market reform, provider payment reform, etc., will also be covered. Experience from the U.S., China and other parts of the world will be shared.

Description: After the bid process, desk review, rebate reallocation, an “enjoyable” audit, and open enrollment; the Medicare plan year starts. Throughout the year, organizations find it pertinent to get an accurate picture of their Part D liability as reinsurance, LICS (Low Income Cost-Sharing) subsidy, and risk corridors are accrued. Attendees will learn about the basics of Part D accruals, how future accrual amounts are estimated based on patterns in the data, and how bid assumptions versus actual results impact plan sponsor profitability. We will also discuss financial statement treatment of these items. Real-life examples from bids to outcomes will be provided to enhance the discussion. Ultimately, attendees will come away with a deeper understanding how their bid assumptions play out, and how they can use Part D accruals to plan for future bid development.

Description: More and more providers are desiring risk-based contracts instead of traditional FFS-based contracts. This session is intended to outline some of the actuarial best practices in risk-based contracting related to the many flavors of the CMS ACO programs, as well as Commercial risk-based contracts.

Description: There is considerable controversy regarding the role, if any, of HIV in causing AIDS. This panel will update attendees on the issues involved in examining this matter. From the Record of the Society of Actuaries, Vol. 21, No. 4a.

Description: Presented at June 1996 Spring Meeting. An investment manager discusses investment strategy for a disability insurer and a rating agency representative and a stock analyst describe how disability insurers are evaluated for risk profile and other issues.

Description: Presented at June 1996 Spring Meeting. Presents tips, techniques, and models for Disabled Life Reserve and incurred but not reported 'IBNR' reserves.

Description: Presented at October 1996 Annual Meeting. In this discussion, panelists look at nontraditional disability delivery approaches - such as direct marketing, banks and internet - and competitors for insurance companies in disability management - such as HMOs and management consulting firms.

Description: This presentation from Session 4PD of the SOA 1996 Orlando Annual Meeting provides an update on the issues addressed and findings reached by the American Academy of Actuaries [AAA] work group responsible for Medical Savings Accounts [MSAs]. From the Record of the Society of Actuaries, Vol. 22, No. 3.

Description: This presentation uses a combination of lecture, case studies and computer modeling to introduce various approaches to estimation of Incurred But Not Reported IBNR liability. .From Record of Society of Actuaries, Vol. 23, No. 1.