Description: New and ongoing health projects at the Academy. From Health Watch, May 2008, Issue NO. 58

Description: This session discussion is about Aids and pricing, underwriting, contract limits, claim reserves, current experience, modeling, and future outlook. From Record of the Society of Actuaries 1988 Vol. 14, No. 1.

Description: To develop a systematic strategy to identify and predict the financial impacts on pharmaceuticals, physician fees, inpatient services, and outpatient services.

Description: This project shows how to use agent-based models to simulate the behaviors of agents in complex health systems.

Description: This session discussion is about AIDS: Experience, trends and projections, medical and disability points of view, pricing, underwriting and epidemiologic implications and results of survey on current practices. From Record of Society of Actuaries Vol. 18, No. 1B.

Description: This session discussion is about development of medical cost estimates, differences between indemnity and HMO techniques, relationship of premiums and capitations, HMO organizational structures, experience rating, community rating and community rating by class. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: On average, contracts receiving their first star rating receive 3.20 stars, compared to existing or established contracts receiving 3.90 stars on average. This 0.70 disparity in quality ratings creates significant hardship on new contracts when this lower star rating decreases their payments in the following calendar year. This article explores the disparity in Medicare Advantage Star Ratings between contracts receiving their first star ratings (“New” contracts) and existing contracts, including: 1. Understanding what happens to Medicare Advantage Payments when contracts receive lower star ratings? – What is the Star Rating cliff and why does it matter to new contracts? 2. Explaining when a contract receives their first star rating and how much enrollment this requires – When does the Star Rating cliff occur? 3. Noting which specific star measures “New” contracts struggle with, including those contracts under large parent organizations, contracts with rapid growth, and all other new contracts. – How can my contract avoid the Star Rating cliff?

Description: This session provides updates on pharmacy topics, including anticipating drug cost and utilization trend, developments in benefit design, specialty pharmacy, the pharmaceutical manufacturer perspective on drug costs and the evolution of pharmacy benefit managers. From Record of Society of Actuaries, Vol. 30, No. 1, Session 96

Description: Highlights of Health Section's annual meeting June 13-15, 2012.

Description: Feature article discussing the growing opportunities for actuaries in the health wellness arena.