Description: Current Chairperson, Vincent Bodnar, provides a section update and outlines the need for innovative solutions to current LTCI concerns.

Description: sources of Health Care data Issue No. 37.

Description: The Society of Actuaries' Pension Section and Health Section Research teams originally commissioned Professor Thomas E. Getzen of Temple University to construct a resource model for the projection of long term healthcare cost trends. The Society of Actuaries continues to make annual updates to the model to ensure its usefulness and relevancy.

Description: Hospitals, through consolidation and affiliations, gaining back negotiation strenght lost due to managed care in the 80s and 90s. Charges vary significantly by area and facility. Issue No. 46.

Description: Catastrophic Shared Stop-Loss: Adapting Life Insurance to Meet Long-Term Care Needs

Description: Long-term care has been changed as a result of the pandemic. The consumer cost for home health care services of facility services have changed. Explore the drivers of these changes and how it affects long-term care insurers. By attending this session, you will leave with an understanding of the key considerations when setting a long-term view on cost of care, publicly available data resources to support an assumption and leading indicators within claim data.

Description: There are practical and conceptual aspects underlying (re)insurability. Practically, something or someone is insurable if an insurer is willing provide insurance coverage at a price the applicant is willing to pay. In contrast, a conceptual view of (re)insurabiity incorporates a range of more complex factors usually considered in the insurance process. This article discusses these two approaches.

Description: Social determinants of health (SDoH) have been a topic of growing interest in recent years, yet consensus about what the phrase represents and how health-related social needs should be studied or addressed by employers, health plans, providers and other stakeholders in the business of health care have been lacking. For many, low-income populations come to mind when considering the topic, yet SDoH include a wide range of factors beyond income. Many types of data are available, yet each presents distinct challenges and opportunities for analysis. In this article, we describe some of the underlying context for considering SDoH, as well as some of the potential data sources to consult and challenges to grapple with on this important topic.

Description: Panelists at this session of the SOA 1997 Palm Desert Spring Meeting provide an overview of the business of medicine from both a hospital and a physician viewpoint. Topics include defining the mission, uncompesated care, impact of Medicare/Medicaid, expenses, scheduling and relationships with managed care organizations.

Description: The introduction and effective application of US GAAP LDTI have increased the scrutiny of those reviewing the updated financial results. That is because LDTI has resulted in significant changes in actuarial reserving and deferred acquisition cost (DAC) models for long-duration contracts, including significant changes to data, assumptions and required disclosures. In light of the changes, greater reliance has been put on companies’ model risk management (MRM) teams and model validations to assess the conceptual soundness and accuracy of their companies’ actuarial models and to assess that the underlying data and process utilized are suitable and appropriate. This article covers a brief background on model validation, walk through a sample LDTI-focused model validation framework/test plan, then provide insights on common LDTI-related validation observations based on the authors' prior validation experience.