Description: This article is the second installment of a three-part series and is focused on providing an overview of LTC modeling approaches and considerations.

Description: Presented at April 1986 Spring Meeting. This session discussion is about the techniques for understanding and analyzing trends in medical care, including: utilization and cost components, analysis of cyclical behavior, use of econometric models, and aggregate trend vs. employer-specific needs.

Description: Panelists discuss pricing considerations on long-term care inforce contracts including: · State & NAIC regulation on premium rate changes · Challenges in implementing premium changes · Product design features like rate guarantees and limited-pay contracts From the Record of the Society of Actuaries, Volume 28, No. 3, Session 6

Description: An excerpt from a presentation at the 2014 Living to 100 Symposium, this article describes an open-source model for use by actuaries attempting to estimate future health benefit costs, discusses its strengths and limitations, and projects that spending for those age over 65 will take more than $13 trillion by 2055, about 50 percent of total medical expenditures.

Description: Panelists continue their discussion of a research project into actuarial issues and financial measurements related to disease management programs. Outcomes measurement is specifically discussed. From the Record of the Society of Actuaries, Vol. 31, No. 2, Session 41

Description: The basics and importance of the utilization assumption for long-term care insurance.

Description: This report compares health care utilization and expenditures between individuals with Crohn’s disease who had used infliximab and those who had not. Claims data from the 1999-2003 Thomson Reuters MarketScan commercial claims and encounters databases and inpatient, outpatient, and prescription drug claims data of individuals older than 18 years of age with a diagnosis of Crohn’s were included.

Description: This paper proposes, for long-term care, a new funding model in which social insurance and private insurance will pay for the bulk of the costs, supplemented by personal payment. If these sources fail, public welfare will serve as a safety net.

Description: This paper addresses the financial risk of long-term care by examining the use of reverse mortgages to help impaired elders continue to live at home.

Description: This paper describes an actuarial methodology [adjusted average per capita cost - AAPCC] developed to meet the requirements of the risk contract that the medicare program makes available to certain health maintenance organizations. From Transactions of Society of Actuaries 1981, Vol. 33.