Description: This article is a review of the book, Insurance Coverage for All...And How Insurers Can Afford To Provide It, by Maria Thomson. The book focuses on the lack of penetration by life insurance companies into the middle market noting the issues and providing suggested solutions.

Description: A review of literature regarding care management program outcomes - either financial or utilization-related which are indicative of financial improvement or from which financial conclusions may be drawn. Includes a discussion on utilization & concurrent review, case & demand & population & disease management . Paper 3 of an 8 paper series on 'An Introduction to Care Management Interventions and Their Implications for Actuaries'.

Description: Full version of Smaller Consulting Firm Section, October 2005, Issue No. 9.

Description: Report from research project that reviewed and inventoried the range of quality and efficiency measures that demonstrate the performance of hospitals and physicians. Besides outlining key areas of consideration for quality and efficiency measurement, this report also describes future opportunities for actuaries and other health professionals interested in this evolving area. The inventory part of the report is in a separate document.

Description: Projecting start-up capital requirements for Health care co-ops and public plans

Description: Full version of Smaller Consulting Firm Section, June 2004, Issue No. 5.

Description: A summary of a survey the Society of Actuaries recently conducted of health payer and provider executives to glean insights into predictive analytics trends.

Description: Since the world in which actuaries work is both expanding (through 'data science' opportunities) and contracting (since 'data scientists' are doing work formerly done by actuaries), the role of education actuaries is at a tipping point. Members of the Society who are in higher education and representatives from the business community will discuss ways in which the two worlds of business and education have worked together in the past, what can be done by each group to assist the other, and what the future may hold.

Description: Full version of Health Section News, Issue No. 48, October 2004.

Description: An actuary presents his concerns regarding the imposition of continuing professional development requirements for actuaries primarily on principle and the requirement's economic implications. Another actuary presents rebuttal which will assist all actuaries in an understanding of how the board reached the decision to institute the continuing education standards.