Description: This is the English version of the research report, “Funding Public Health Insurance Plans Canada and Globally”. This report briefly looks at the actual health care funding models and metrics in seven countries (Canada, Sweden, France, Germany, Switzerland, the United Kingdom, and the United States) along with health care metrics for another 13 countries (20 OECD countries in total). This report also suggests a number of possible areas where actuaries could provide expertise to assist in the management of public health care plans.

Description: This brief article describes an actuarial model of continuing care retirement communities [CCRC] that was developed. The model uses a set of multiple-decrement, multi-life, multi-status functions to describe the population of a CCRC.

Description: This is the abstract for the paper entitled 'Pricing Long Term Insurance Contracts.' This paper considers several models describing the changes in the needs of the insured for care over time. From Actuarial Research Clearing House 1994, VOL. 1.

Description: This model arose from a project to evaluate the cost of a health care access' program to provide comprehensive medical care to uninsureds in Minnesota, for the Minnesota Health Care Access Commission. The project was to provide estimates of the impact on per-person and aggregate costs for various participation percentages in the access program. In order to evaluate those costs, the antiselection model described in this was developed. Of note, this was the ACTUARIAL EDUCATION AND RESEARCH FUND 1991 PRACTITIONERS AWARD WINNER. From Actuarial Research Clearing House 1991, VOL. 2.

Description: This report describes the results of a survey on reflecting risk in pricing. The survey expands on one conducted in 2003 and was expanded to include life, health, P&C, and non-North American insurance companies.

Description: Excel file containing extracts of utilization and costs for chiropractic and acupunture - continuously enrolled population. From a research project examining the utility of standard eligibility and claims extracts for complementary and alternative medical therapies - CAM analysis.

Description: Excel file containing extracts of utilization and costs for chiropractic and acupunture - visit and service date detail. From a research project examining the utility of standard eligibility and claims extracts for complementary and alternative medical therapies - CAM analysis.

Description: This section presents book reviews and summarizes recent publications: 'Equitable Assurances' by Ogborn, 'Fulfilling Pension Expectations' by McGill, 'Voluntary Health Insurance and Rate Making' by MacIntyre, 'Prepayment for Medical and Dental Care in New York State...' by State of New York, 'Financing Health Care of the Aged, Part I' by Blue Cross, 'The Second Report of the Ontario Committee on Portable Pensions' by Gathercole and MacGregor, 'Economics of Unemployment Compensation' by Princeton University, 'The Investment Process as Characterized by Leading Life Insurance Companies' by Walter. Some digests also included.

Description: This is a review of literature about the development and application of medical risk adjustment models. The current Medicare model, principal inpatient diagnosis cost group [PIPDCG] and proposed enhancements are the subject of many articles. Risk adjustment is used for both provider payment and performance measurement.

Description: A research project with the Society of Actuaries on interest rate hedging on traditional life and health insurance.