Description: This is the second installment of an article about using microeconomics and the concepts of embedded value to better manage and understand the profitability of direct marketing programs.

Description: This session at a SOA 1990 Spring Meeting is about open ended managed care plans from various perspectives including structure, marketing and actuarial issues.

Description: Observations of a Home Health Care Experience Analysis incidence rates, selection rates, avg length of service. From Long-Term Care Newsletter, October 2000, Issue No. 3.

Description: In Medicaid rate development, actuaries have not historically shared models that developed the margin (i.e., underwriting gain) assumption. This is unfortunate, given the margin assumption is one of the most critical components of the rate development in ensuring financial solvency of the Medicaid managed care organizations (MCOs). In this session, we will discuss the primary components of the this assumption and will share working models that help actuaries quantify these components—including the cost of capital and risk (or contingency) margin. We expect a lively discussion as we “open the black box” and discuss these actuarial assumptions in the public for the first time.

Description: This article discusses the positive aspects of E-prescribing, a transaction in which a physician transmits a prescription directly to a pharmacy through an electronic device. Issue No. 60

Description: This session discussion is about Long-Term-Care valuation issues: current industry practices, regulatory needs, and the SOA Task Force on Valuation Methods of Long-Term-Care insurance. From Record of Society of Actuaries Vol. 18, No. 1B.

Description: 1993 SOA Annual Meeting, New York. This session is about underwriting of Long-Term Care. Topics discussed: 1. Certain aspects of the underwriting process. 2. Different generic types of underwriting. 3. Evaluating results and taking action. 4. Initial intercompany insured lives claim results.

Description: The first Intercompany Study of the Long-Term-Care Experience Committee and the first public report on experience of lives insured under private insurance plans. Includes incidence rates, lapse rates and claim costs. From Transactions of Society of Actuaries 1993-94 Reports

Description: Long Term Care Insurance Reserves and Reinsurance Balancing between statutory and GAAP requiements. From Long-Term Care Newsletter, August 2001, Issue No. 5.

Description: This article incorporates the NAIC long-term care insurance model regulation to discuss the appropriateness of rate increases by monitoring emerging experience to manage the risk. This includes experience analysis issues, maximum rate increase calculations, business considerations and valuation issues. From Long-Term Care, December 2003, Issue 10