Description: Affordable Care Act and Payment Reform

Description: This article provides an overview of the financial results of managed care plans over time using a collection of the NAIC financial statements.

Description: Article discussing an alternative method to calculate the PBA deterministic reserve called the “Direct Iteration” method.

Description: Results of a survey of healthcare organizations regarding use and plans for Predictive Analytics

Description: Considerable attention has been given in the recent past to the likely economic and social impact of Australia’s ageing population. One particular aspect which continues to be the subject of increased commentary and conjecture, is the need and subsequent costs for Long Term Care LTC. In this paper, a multiple state projection model based on a framework by Rickayzen and Walsh 2002 is constructed in order to project the number of people in Australia who are likely to require LTC.

Description: Research is a primary mission of the Financial Reporting Section and is the largest use of section dues. This scorecard will keep section members informed about research projects sponsored or co-sponsored by the section.

Description: A Regulatory Perspective on Rate Review Before and After the Affordable Care Act

Description: A review of literature regarding care management program outcomes - either financial or utilization-related which are indicative of financial improvement or from which financial conclusions may be drawn. Includes a discussion on utilization & concurrent review, case & demand & population & disease management . Paper 3 of an 8 paper series on 'An Introduction to Care Management Interventions and Their Implications for Actuaries'.

Description: Panel discusses the effects of reduced payment levels to many Medicare managed care organizations. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: Duncan's personal reflections on the state of care management evaluation.