Description: How can actuaries tailor their work to a target audience? This article explores success stories and key considerations when preparing work for others.

Description: Discussion of Medicare's Ambulatory Payment Classification APC system as the standard for reimbursement of non-capitated outpatient hospital services with sample calculations. Issue No. 37.

Description: Key aspects of credibility formulas & modeling, experience data requirements Issue No. 37.

Description: Uses Monte Carol simulation to discuss increase in aggregate stop loss claim frequencies due to changes in selling strategies, August 2000, Issue No. 38.

Description: Current Issues In Stop Loss Market by Daniel L. Wolak from Health Section News, September 2001, Issue No. 41.

Description: Author compares in-depth statistical review of baseball team to the actuarial profession, Issue No. 47.

Description: Recap of Health Section's 2014 events and member survey.

Description: An approach to quantify medical intervention savings when medical claims data is not available by leveraging overlapping measurement techniques.

Description: This article will consider several issues arising from ACO budgeting and pricing of stoploss coverage, including: 1) attribution of members; 2) claim carve outs; 3) ambiguous stoploss terms; 4) providers gaming the system and 5) credibility of data.

Description: This article discusses the advantages, logistical concerns, and pricing formulas of implementing a TNHP, in which members pay less for treatment from providers who meet higher quality and cost-effectiveness standards.