Description: "Direct medical costs for cancer care topped $209 billion nationally in 2020, accounting for a significant proportion of all health care expenditures in the U.S. Indirect costs are also significant, encompassing loss of productivity, wages, leisure time and decreased quality of life. The way cancer programs deliver and are reimbursed for care is rapidly changing. As the cost of cancer care continues to rise, several new value-based care programs - both public and private - have attempted to curb these rising costs. Learn about the current landscape of VBC oncology programs, several key challenges and opportunities with oncology analytics, as well as anticipated evolution of cancer care in the near future. Topics include: Current VBC oncology landscape, including a more detailed discussion on CMS' latest oncology program, Enhancing Oncology Model (EOM) Discussion on current challenges and opportunities with oncology analytics, including some advanced methodologies that have been developed based on documented clinical pathways to better understand cost drivers Future state of oncology care including emerging pharmaceuticals and novel therapies, personalized care regimens, and other clinical innovations"

Description: Discussion of methods to estimate unpaid claim liability UCL for health plans. Includes traditional IBNR lag method and a lag method based on claims reported but not paid RBNP. Issue No. 45

Description: The object of this paper is to present a theoretical basis for the mathematical graduation of continuance data for both elementary and combined benefits, and to demonstrate the methods of utilizing the theory to derive claim costs for a wide variety of benefits. From Transactions of Society of Actuaries 1959, Vol. 11, No. 31.

Description: Panelists discuss new developments and strategies related to provider and network management and contracting. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 58PD of the Dallas Spring Meeting.

Description: An update of selected key graphs from the Key Statistics section of previous COVID-19 briefs.

Description: Climate change has the potential to wreak havoc on ecosystems worldwide. One anticipated repercussion is the change in suitable habitats of vectors, such as mosquitos and ticks, who can transmit serious and even life-threatening diseases to humans. In this report, we outline major vector-borne diseases, discuss their symptoms and treatment costs, and present the relevant research regarding their evolving spatial patterns due to climate change.

Description: This paper describes a computer package for analyzing AIDS data named AIDS-PAC that: 1. adjusts AIDS case counts to account for reporting delay, 2. estimates the size of the HIV infected population, 3. provides short-term forecasts of the extent of the AIDS epidemic. Actuarial Research Clearing House 1991 VOL. 1

Description: In preparing claims reserves in the annual statement, health insurers and their opining actuaries will generally include a provision for adverse deviation (PAD) in their reserved amount in order to satisfy language in both in the National Association of Insurance Commissioners (NAIC) Health Annual Statement Instructions and in Actuarial Standards of Practice. This article explores the total level of PAD (both implicit and explicit margin combined) included in the reported claims reserves by examining NAIC filing data from 2016 through 2022.

Description: Key aspects of credibility formulas & modeling, experience data requirements Issue No. 37.

Description: Telehealth continues to be a story of unrealized potential than realized success. Find out what's pushing telehealth forward as a means of remote healthcare and the challenges its facing. Discuss questions, including: - Telehealth's role in expanding access to mental healthcare is clear, but what about other conditions? - Was access expanded for all patients or do modern delivery methods leave some patients behind - How do telehealth costs compare to in-person costs? - What happens to the value proposition if unit cost savings is off the table?