Description: Panelists discuss the characteristics of and impediments associated with effective management of the long term care insurance market, particularly as it related to pricing, marketing, and underwriting. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: Using Healthcare Claims Data to Create Actuarial Models.

Description: An excerpt from a presentation at the 2014 Living to 100 Symposium, this article describes an open-source model for use by actuaries attempting to estimate future health benefit costs, discusses its strengths and limitations, and projects that spending for those age over 65 will take more than $13 trillion by 2055, about 50 percent of total medical expenditures.

Description: Essential Health Benefits and Actuarial Value

Description: Feature article discussing actuaries’ view of the perfect health care reform package with an emphasis on funding/financing. Part 4 of a 4-part series.

Description: Health care predictive analytics varies between payers and providers as well as being a powerful tool in business decision modeling.

Description: In this article, we will describe EY’s five-pillar approach that balances practicality with comprehensiveness, and how this applies to LTC model validation.

Description: Affordable Care Act and Payment Reform

Description: This study was sponsored by the Society of Actuaries Health Section. This paper explores the relative significance of aging as a determinant of financial cost of health care beyond age 50, with particular attention to the effect for ages 65 and older. The paper presents concepts of aging factors and aging curves, which define relative values between ages for utilization or cost of health care services. General conclusions are drawn from Medicare data that utilization and cost differ by age, but that aging factors vary across services and may be less significant at very old ages. The author then turns to the question of measuring the significance of an aging curve assumption and what accuracy is lost in the simpler alternative of a single value across an age range.

Description: This article provides an overview of the financial results of managed care plans over time using a collection of the NAIC financial statements.