Description: Contents for April 1-2, 1985 Spring Meeting presentations.

Description: Learn how medical coding, claims, data-sourcing and more are relevant to actuarial work in the health care field when you sign up for this SOA e-course.

Description: Four actuaries with experience in both consulting firm and insurance company provide an in-depth look at both options, covering issues such as differences in the day-to-day activities, work culture, work-life-balance, rotation programs, etc. They also share their personal career stories and advice on how to choose between insurance and consulting and how to transition from one to the other.

Description: This article begins with a comparison of the commercial risk adjuster to the exisiting Medicare model, and goes on to discuss why the existing strategies employed by health plans will not work in a risk adjusted environment. The article elaborates on the importance of diagnosis coding, controlling member mix, and care management in order to mitigate risks and gain from newly created opportunities.

Description: The purpose of this SOA-sponsored research was to assemble and analyze a limited large claims database which may serve as a model for expanded inter-company studies of health care benefits in the future. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.

Description: This session presents information sources used in tracking health technologies, the value of health technology assessments and clinical data typically available. From the Record of the Society of Actuaries, Vol. 31, No. 2, Session 4

Description: This article summarizes the results of a Delphi study amoung SOA Futurism Section members about the actuarial profession and the U.S. economy and other matters in the years 2010 and 2050.

Description: Presented at June 1985 Spring Meeting. This session discussed factors affecting the design of flexible benefits programs: choice of benefits, cost containment, tax effectiveness of benefits.

Description: In the winning article in the International Section’s annual country feature article competition, the author recounts his experience of living in Zurich, Switzerland, and compares U.S. and Swiss cultural influences on health care.

Description: This article discusses the rationale behind having premiums for long term care insurance that vary by gender. Differences in LTC morbidity and practical aspects of gender distinct rates are discussed.