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: Panel discussion about the business, regulatory, and consumer issues relating to loss ratios for Accident & Health Insurance. From the 1980 Society of Actuaries Spring Meeting in Minneapolis, as published in the 1980 Record of Society of Actuaries, Vol. 6, No. 3.

Description: This presentation is a Health Section meeting from the 1991 Annual Meeting of the Society of Actuaries, held October 20-23 in Toronto. The session leader, the incoming chair of the section, covers administrative matters, and then the next speaker addresses a newly completed research project, sponsored by the Society and Health Section, on the variation by duration in small group medical insurance claim costs. The speakers then discuss current developments in small group reform, and the various parties involved, including the National Association of Insurance Commissioners [NAIC], and the Health Insurance Association of America [HIAA], and the work that has been done, including modeling to address the impact of a small group reform mechanism. The speakers discuss how the various parties' objectives can differ. Discussion from participants is included. From the Record of Society of Actuaries, Volume 17, No. 4B.

Description: Individual Market and ACA Products Actuarial rating principals

Description: Introduction to population health, a collaborative discipline that seeks to leverage all the determinants of health personal behaviors, medical care and the public health infrastructure, as well as the social and economic context at the community and national level to maximize the health of populations.

Description: This article focuses on the actuarial value calculator and the methodology used. It proposes potential future improvements to this model.

Description: In the course of consulting engagements, actuaries almost always find they need one or more of the following resources: -Healthcare data, which may be at the individual patient level or on a particular population. -Health services research studies which describe, summarize, try to alter, or predict patients’ use of health resources. -Health policy information, which describe public or private actions which affect the access, cost and quality of medical care. This document describes the ever-changing resources and specifies where they may be obtained.