Description: The Johns Hopkins ACG Team's comments regarding their participation in the Comparative Analysis of Claims-Based Tools for Health Risk Assessment.

Description: This paper applies the principles and methodologies discussed in earlier papers in this series to measure cost savings from a two-year disease management DM program for the 200,000 Medicare members of a regional managed care plan. We then study how savings estimates change when we allow for four variations in key assumptions: methods for identifying or excluding plan members, requirements for eligibility in the health plan, methods for calculating health care trend and study design. Finally, we also examine the sensitivity of these results to product type by comparing the Medicare results to those of the Commercial HMO/POS product. Paper 8 of an 8 paper series titled: “Evaluating the Results of Care Management Interventions: Comparative Analysis of Different Outcomes Measures” sponsored by the Society of Actuaries’ Health Section and the Committee on Knowledge Extension Research.

Description: Discusses health-care-cost reimbursement structures, from the facility/hospital perspective and the professional/doctor perspective. Also discusses risk-absorption methods. From the 1987 Record of Society of Actuaries, Vol. 13, No. 1.

Description: This session is from the 1976 Society of Actuaries Annual Meeting in Toronto in October. The presenters cover the following Group Insurance topics: Survivor Income Group Life Insurance, Long Term Disability Insurance, Dental Insurance, Health Insurance, and new products and development.

Description: Data on morbidity, loss ratios, actual-to-expected continuance rates, and lapse rates for disability insurance, and discussion of the implications with respect to legislation, product design, pricing, underwriting, and marketing. This presentation was made at the 1975 SOA Los Angeles Spring Meeting.

Description: Panel discussion on recent developments in individual disability insurance, including morbidity trends, reserving assumptions and variations, marketing and underwriting trends and trends in claims practices. Presented at the Spring 1975 Meeting in New York.

Description: Presented at September 1995 Valuation Actuary Symposium. Discusses the Health Organization Risk-Based Capital formula.

Description: Panelists discuss the successes and shortcomings of disease management as the latest generation of effective managed care. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: Panelists discuss the ongoing influence and long-term implications of the Health Insurance Portability and Accountability Act on the health insurance market in the U.S. From the Record of the Society of Actuaries, Vol. 24, No. 3.

Description: Critical illness CI products are gaining in popularity in North America. These products have been available for close to 20 years in many countries around the world, including South Africa, Australia, the United Kingdom and most of Asia. Many of the lessons learned in these countries concerning product design, pricing, underwriting and claims adjudication are relevant to the U.S. market. This session reviews the latest trends around the world. Attendees gain insight into the key issues driving the profitability of the product and are better positioned to determine the main considerations in deciding whether or not to introduce such a product in their market. From the Record of the Society of Actuaries, Volume 29, No. 1, Washington, D.C., Spring Meeting, May 29–30, 2003, Session 60PD.