Description: Discusses areas health actuaries could expand into. Issue No. 47.

Description: Presents a step-by-step methodology for calculating confidence intervals for IBNR estimates derived using the Averaqe PMPM method. It is a companion article to the January 2023 Health Watch article presenting the Average PMPM method for generating point estimates of IBNR with zero claims runout.

Description: Disruptive changes will create opportunities for health actuaries as we help health plans develop their overall strategy.

Description: Interview discusses developing forecasting models to predict the financial impact of disruptive events and new medical technologies. Issue No. 60

Description: Analysis of the impact of disease progression and treatment on life expectancy provides perspective on the long term costs to the health care system of chronic medical conditions.

Description: Uses Monte Carol simulation to discuss increase in aggregate stop loss claim frequencies due to changes in selling strategies, August 2000, Issue No. 38.

Description: What is the difference between a Single-Payer and Universal Health Care System, and how could the U.S. implement a system that would reduce the growth of medical costs while increasing quality.

Description: Medical Insurance in Latin America: Lessons Learned by Jeffrey D. Miller from Health Section News, January 2002, Issue No. 42.

Description: CMS provides ACOs with monthly claims data for members, including their medical visits and ACO program eligibility. This data can be divided into Membership and Claims tables through the ETL process. However, when calculating PMPY at specific levels of detail using these tables, issues arise due to unrelated dimensions, leading to inaccurate and understated results. This article presents a solution to this problem by utilizing Tableau's data blending capabilities.

Description: Health Care in Ireland public care, private insurance, risk adjustment Issue No. 39.