Description: This research project offers guidance and a model for actuaries to use when performing their professional services related to Medicaid (Title XIX) and Children’s Health Insurance Program (CHIP or Title XXI) managed care capitation rate setting, including, but not limited to, their certification on behalf of a state in accordance with the requirements for actuarial soundness as set forth in law, federal regulation, and CMS guidance, as well as the actuary’s professional obligations under the Actuarial Standard of Practice (ASOP) 49 issued by the Actuarial Standards Board.

Description: Under the new long term care model regulation, initial filing requirements include a statement regarding underwriting practices, which makes an actuary's awareness of underwriting techniques even more important. This session discusses underwriting tools and strategies. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 112OF

Description: Panelists provide an overview of long-term-care insurance. They present basic information relating to how the product works, unique pricing and risk considerations, marketing, and reserve and capital requirements. From the Record of the Society of Actuaries, Vol. 31, No. 1, Session 48

Description: In April, 2009, the Chinese government launched the most comprehensive Health Care System Reform ever. The goal: to establish and improve the basic health care system covering most urban and rural residents, and to provide the people with safe, effective, convenient and affordable health care. There is no doubt that this 'Made in China' health care reform will become the world’s most extensive health care system reform because it will inevitably affect many players in the game such as the local governments who currently administrate the program, the medical professionals who provide the care, the pharmaceutical manufacturers who provide the medicines, and the very large population who participate in the program, etc. This article summarizes the highlights of China's health care reform program.

Description: This article describes how Long-Term Care riders attached to Life Insurance policies provide real insurance value at a reasonable cost and allow life insurance companies to compete on a basis other than cost.

Description: Panelelists at this session of the SOA 1997 Washington, DC Annual Meeting discuss risk management for long-term care insurance, the design of long-term care morbidity studies, LTC morbidity trends, and the impact of morbidity on plan design.

Description: Ian Duncan argues that there is no crisis in American health care.

Description: Discusses use of credibility theory with respect to LTCi. Considers the various credibility methods and points to resources for more in-depth investigation.

Description: Panelists discuss emerging valuation-actuary-related issues, including: [1] for long-term-care insurance [LTCI], reserves, risk-based capital [RBC], and new experience forms, [2] for Medicare Part D, several potential future changes, and [3] for health insurance in general, the new Statement of Standard Accounting Practice 85 [SSAP 85] and existing SSAP 84, and current activities of the International Accounting Standards Board [IASB] regarding a definition of 'insurance.' Session 27PD of the 2005 Valuation Actuary Symposium.

Description: HR Magazine article quoting Jim Glickman talking about long-term care. Discusses increasing popularity of long term care as an employee benefit and discusses carrier and plan selection.