Description: This is the Introductory Study Note for the Society of Actuaries Group and Health-Company/Sponsor Perspective examination for Spring 2012 that will be given on Friday, April 27th, from 8:30 a.m. – 11:45 a.m. and 1:30 p.m. – 4:45 p.m.

Description: This paper is being produced in conjunction with eight companion pieces reflecting a variety of stakeholder experiences with the development of the risk pool.

Description: The Society of Actuaries' Pension Section and Health Section Research teams commissioned Professor Thomas E. Getzen of Temple University to construct a resource model for the projection of long term healthcare cost trends. The motivation for creation of the model was driven by its potential usage as a resource for the estimation of reportable liabilities for retiree healthcare benefits as specified under FAS 106 and GASB 45 accounting statements. This model, programmed in Microsoft Excel [xlsx format], projects per-person expenditures and growth rates through 2099 using a set of equations and assumptions developed by Professor Getzen with assistance from the Society of Actuaries Project Oversight Group appointed to oversee the effort. The model includes baseline assumptions as well as flexibility for user–inputted alternative assumptions.

Description: There is considerable controversy regarding the role, if any, of HIV in causing AIDS. This panel will update attendees on the issues involved in examining this matter. From the Record of the Society of Actuaries, Vol. 21, No. 4a.

Description: This presentation uses a combination of lecture, case studies and computer modeling to introduce various approaches to estimation of Incurred But Not Reported IBNR liability. .From Record of Society of Actuaries, Vol. 23, No. 1.

Description: This session of the 1990 Valuation Actuary Symposium discusses health liabilities and reserves.

Description: This session discussion is about medical technology: trends and proliferation of medical technology, its impact, future, employer strategies to limit exposure, considerations of containing utilization of various procedures and technology. From Record of Society of Actuaries Vol. 18, No. 1A.

Description: Discussion of current developments affecting flexible-benefit plans, pricing and underwriting considerations in a flexible-benefits environment, managed care options in a flexible plan, employer challenges in managing flexible programs, employer cost target and pitfalls.

Description: Learn about key actuarial and analytic tools and methodologies used by commercial health insurance to identify and quantify drivers of healthcare cost and utilization (including wasteful and low-value ones) and risks. Use case scenarios in which these tools and methodologies apply, such as underwriting, reinsurance, medical management for population health and chronic diseases, managed care contracting, insurance market reform, provider payment reform, etc., will also be covered. Experience from the U.S., China and other parts of the world will be shared.

Description: The author gives his opinions of the cause of the health care financing crisis and ever increasing health care costs.