Description: Exploration of sources of volatility in retiree health valuations, noting how volatility arises and might be mitigated, with discussion of valuation parameters more problematic for retiree health benefits than for pensions. Three significant influences on retiree health valuation volatility are covered-- changes in benefit level, fluctuations in cost level, and alterations in eligibility for, or duration of, benefit – and attention focused on the last two. Specific conclusions result in recommendations, which are supported by practical examples contrasting volatile measurement results with those likely from the recommended practices. Theoretical discussion includes health claim variation, health trend usage, financial economics, option pricing, discount rates, and deterministic vs. stochastic modeling.

Description: This discussion is about comprehensice medical insurance and excess major medical coverage and includes specific measures taken to reduce claim experience, outlook for smaller groups, and claim costs of specific provisions. From Transactions of Society of Actuaries 1962 Vol. 14 Pt. 2

Description: Presented at April 1986 Spring Meeting. This session discussion is about the impact of wellness programs on medical plan experience/non-medical plan experience, health status as a pricing variable, likely future developments.

Description: The Getzen Model is based on 30+ years of observation showing that economic factors, not disease incidence, are responsible for most of the disruption and variance in aggregate medical spending trends.

Description: This session discussion legal liability for unfavorable medical outcomes, effect of utilization review on the quality of care and patient/provider acceptance, protocol development and implementation for managed care, and insurance coverage necessary to protect your organization. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: This article gives an overview of the recent SOA research report on the usefulness of Health Economics and Outcomes Research field in an actuarial context. A description of the structured assessment tool for evaluating new technologies is included.

Description: Study note for missing Study Note GH–D116–07 "Economic Incentives in the Sale and Use of Health Insurance".

Description: This overview study note for the Society of Actuaries Spring 2012 Financial Economic Theory and Engineering [FETE] exam is intended to provide candidates with an approach for organizing the course of reading for studying the various sections of the course.

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.