Description: This panel discussion presented at the 1980 SOA Spring Meeting in Minneapolis discussed competition in health care delivery from the perspective of what was happening in Minnesota, a key HMO state. From Record of Society of Actuaries, Vol. 6, No. 2.

Description: This session will discuss the continuing evolution of the managed health care process. Topics include precertification, utilization review, retrospective review, case management, appropriateness review, benchmarking, recredentialing, provider contracting, and integrated medical systems. From Record of Society of Actuaries Vol. 20, No. 3A.

Description: This session discusses continuing care retirement communities. What opportunities exist? What role does the actuary play? From Record of Society of Actuaries, Volume 26, No. 1.

Description: Health insurance company assets and liabilities have evolved since the Patient Protection and Affordable Care Act (ACA) was signed into law in March 2010. The ACA fundamentally rearranged how commercial health insurance is funded by integrating federal premium subsidies and pass-throughs together with a marketplace interwoven with transfer payments among stakeholders. The impacts of these programs can be seen in specific accounting items on the balance sheets of health insurance companies over the past 10 years. Their emergence follows three primary trends: (1) balance sheet items tend to be larger and take longer to settle, (2) there are more interactions among items, and (3) the final settlement amounts are more uncertain.

Description: The summary and introduction of an SOA research paper that explores valuable insights and recommendations for insurance companies considering entering the market of commercial long-term care insurance (LTCI) in the Asia-Pacific, based on individual health status.

Description: The Society of Actuaries Research Institute’s Aging and Retirement Strategic Research Program is pleased to make available a report that explores stakeholder views in Minnesota on the efficacy of a public catastrophic long-term care insurance program at the state level.

Description: This session discussed: Relative roles and interdependencies between providers and insurers - traditional and future Risks and financial incentives from the provider perspective Marketplace forces determining trends in inflation and utilization in the health care arena. From Record of the Society of Actuaries Vol. 11, No. 1 in San Francisco

Description: This presentation from Session 87PD of the SOA 1996 Colorado Springs Meeting is about managing long-term-care persistency risk. The panelists comment on: 1. findings from the SOA 1995 Long-Term-Care Experience Report, 2. pricing implications, and 3. steps taken to affect persistency results. From the Record of the Society of Actuaries, Vol. 22, No. 2.

Description: This report estimates sex-specific trends in HIPAA ADL disability between 1984 and 2004 using the National Long Term Care Survey (NLTCS); estimates age-standardized 20-year changes in ADL and cognitive impairment (CI) among the U.S. elderly using the HIPAA CI trigger; estimates the joint distribution of cognitive impairment (CI) and ADL disability among aged Medicare enrollees using the HIPAA disability triggers.

Description: This paper helps the audience understand the actuary’s role in estimating the financial impact of primary care programs. In addition, the paper can be used by actuaries to think about key issues when estimating the financial impact of their employers’ and clients’ own primary care programs.