Description: This session about long-term-care will cover the current status of reinsurance for this marketplace in three ways: traditional accident and health, turnkey programs and assumptive reinsurance. From Record of Society of Actuaries Vol. 18, No. 1B.

Description: This session is about rationing health care. From Record of Society of Actuaries Vol. 18, No. 4A.

Description: This article discusses the use of parametric distributions to model health care cost.

Description: This session from the 1993 Valuation Actuary Symposium covers problems and considerations for the valuation actuary with long term care insurance, NAIC risk based capital RBC requirements and their impact on LTC, the growth of LTC, cash flow testing, GAAP analysis of LTC and LTC claim reserve experiences.

Description: As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical data. That information is captured while patients are in health care facilities. Yet most people spend only a small fraction of their time in these facilities. This article explores what types of data are available to actuaries the provide a more holistic view of the member so that a members physical and emotional needs, the social determinants of health can be taken into consideration along with their clinical needs. Two uses cases are presented so actuaries can see how these types of analyses can be leveraged to improve clinical, operational, and financial performance of risk bearing health entities. Understanding the customer (member) not just the patient enables actuaries to provide new insights and values to our stakeholders across a wide range of business and risk applications.

Description: Article discussing the use of enterprise risk management in the health care industry.

Description: This analysis will primarily focus on the individual, non-group market. In order to plan for the impact that these currently uninsured individuals will have on the health insurance markets, it will be important to understand their costs relative to the costs for people already enrolled, for whom many health insurers have experience and data.

Description: Mortality in the U.S. states at ages 80 and older and over years 1959–2011 analyzed and compared with mortality levels in 13 high-longevity countries.

Description: In this session at the SOA 1997 Palm Desert Spring Meeting, panelists discuss how managed care dental programs work, the actuarial issues, quality issues, and the perspective of the dentist.

Description: This session discussion is about who is the health care manager, how is health care management evaluated, ethical considerations, malpractice liability and data systems support. Inlcudes a discussion on gatekeepers, provider contracting, utilization management, benefit design, DRG creep, long-term care, From Record of the Society of Actuaries 1987 Vol. 13, No. 1.