Description: Discusses management principles for the successful application of the underwriting processes of selecting and classifying risks and the actuarial pricing process of establishing adequate and equitable premiums for the risks to be underwritten within group medical business. Has some nice representative data for what a book of business might look like by case size.

Description: This article describes and, more importantly, identifies information systems which are either in existence or planned on the national, state, and local levels. It describes the data available on the national level from the National Center for Health Statistics, the 05ce of Research and Statistics of the Social Security Administration, the AMA, the AHA, etc. It also describes a number of state and local information systems and addresses itself to information systems for inpatient care, ambulatory care, and the needs and likely sources of data for PSRO’s.

Description: The American Academy of Actuaries task force charged with developing a risk-base capital formula for health insurers submitted its preliminary report to the NAIC Health Organizations Risk-Based Capital Working Group.

Description: This article summarizes the work of two work groups of the American Academy of Actuaries, one focused on Medical Savings Accounts and one focused on proposed changes to Medicare.

Description: This article discusses Medical Savings Accounts MSA as proposed in federal legislation and the problems that actuaries will face in predicting their use.

Description: This article reviews the results of the first SOA study of large medical claims, defined as claims greater than $25,000.

Description: Article from The Actuary September 1992 – Volume 26, No. 7 is about research papers for FSA credit, specifically mentions The Application of Fuzzy Sets to Group Health Underwriting

Description: This is a table from an article in The Actuary Magazine entitled A Strategic Analysis of the U.S. Life Insurance Industry Part II: Products.

Description: This is a book review of 'The Rising Cost of Hospital Care' by Martin S. Feldstein, Ph.D. In general, the book proceeds from an analysis of how and how much hospital costs have risen to why they have risen.

Description: An actuarial perspective on a book review of Biological Imperatives a book written by biologist Allan Chase. An interesting perspective which may be of interest as the United States evaluates its health care reform options.