Description: Medicare Advantage and ACA

Description: As private payers ponders the early adoption of genomic testing to guide treatment pathways, can personalized approaches to care prove financially sound?

Description: This is a presentation From 38th Annual Actuarial Research Conference 8/9/2003, University of Michigan, Ann Arbor, Michigan. Pricing health insurance presents numerous statistical problems. This paper develops a non-parametric method for handling these problems. This method involves kernel density estimation of the charge level distribution and also kernel smoothing between the reimbursement function derivatives. It derives some properties of the estimates so obtained. It illustrates the method with some dental data and compares the results to some other simpler estimation techniques.

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 session discussion is about high risk health pools: comparison of plans, what is working, experience and public policy considerations. From Record of Society of Actuaries Vol. 16, No. 1.

Description: This session is about managed-care risk-sharing arrangements. Topics include insurance company and HMO joint ventures, employer arrangements with insurance companies and HMOs, and HMO provider risk contracting. From Record of Society of Actuaries Vol. 19, No. 1B

Description: This presentation, session number 40OF, took place at the 1999 Spring Meeting of the Society of Actuaries, held June 16-18 in Seattle. The panelists discuss the different available types of individual disability reinsurance, including excess coverage, quota share, stop loss, finite reinsurance, and financial reinsurance. From the Record of the Society of Actuaries, Vol. 25, No. 2.

Description: Panel discussion addresses recent developments in group long-term disability product design. From the Record of the Society of Actuaries, Vol. 25, No. 2.

Description: The SOA's GDIEC has completed their study of termination experience for the period 2004-2012. Included is a preliminary report and pivot tables.

Description: A summary of Medicare reform and its effect on prescription drug coverage.