Description: Book review of Employee Benefits, written by Burton T. Beam, Jr., and John J. McFadden. Published in 1985 by Richard D. Irwin, Inc. 486 pages plus bibliography and index.

Description: This article discusses a study of the impact of the drug infliximab on Crohn's disease patients. This study had been approved in response to an SOA request for proposals for research on the health cost and utilization effects of a specific prescription drug.

Description: We highlight a new approach leveraging predictive analytics to identify high risk and rising risk opioid users for more effective screening and follow-up care.

Description: Summary of Medicaid encounter data, including how it is collected by health plans, transferred to state databases, used by states, and ultimately sent to CMS. The status of the CMS T-MSIS project is discussed, as well as the future of Medicaid encounter data as a source of information for many stakeholders.

Description: This paper addresses specific details of measurement principles and practice that the actuary should consider when planning to conduct or review a study of care management interventions. Three major topics are covered: Measurement Principles, Study Design Issues, and Risk Factors. Paper 2 of an 8 paper series on 'An Introduction to Care Management Interventions and Their Implications for Actuaries'

Description: Summary of cost-reduction and quality improvement within the disease management sector. Paper 4 of an 8 paper series on 'An Introduction to Care Management Interventions and Their Implications for Actuaries'.

Description: Discussion of insolvency provision added to reinsurance agreements to insure the continuation of benefits during HMO insolvency, Issue No. 39.

Description: Article discusses what happends when an insurer fails, role of the guaranty association and what is an ideal insolvency. From Health Section News, August 2000, Issue No. 38.

Description: Panelists discuss the role of the valuation actuary in health insurance. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: Panelists discuss current trends for the individual disability income industry, and issues of timely relevance to disability actuaries. From the Record of the Society of Actuaries, Vol. 24, No. 2.