Description: This is a review of literature about the development and application of medical risk adjustment models. The current Medicare model, principal inpatient diagnosis cost group [PIPDCG] and proposed enhancements are the subject of many articles. Risk adjustment is used for both provider payment and performance measurement.

Description: The power and flexibility of Microsoft Office Excel have made in the ubiquitous analysis tool of choice for insurance companies in determining premiums and the risk value of clients. This article discusses controls to reduce errors in spreadsheets.

Description: Actuaries pride themselves on innovation and advancements; but no professional field has pushed to set the bar higher than medical Radiology. Over the course of the last few decades, medicine has begun to rely more on artificial intelligence to aid in the process of patient care; and the results have been outstanding! This article looks to show how high the bar has been set, how it will impact the current state of the world of the actuary and the future impacts

Description: This is an essay on the measurement of the reasonableness of each individual non-economic actuarial assumption. From the Pension Section News, September 2008, Issue No. 68.

Description: The author makes 10 predictions of how risk management will change over the next decade.

Description: This paper estimates the acquisition and maintenance costs associated with life policies as a function of the amount of insurance and number of policies of an insurer by estimating a cost function for our sample of insurers.

Description: Shareholders provide capital and receive the insurance profit. This paper demonstrates than an optimal capital level exists that generates the highest return for the shareholders of an insurance company. This result is derived using a risk capital model by Perold. The no-arbitrage argument, developed by Modigliani and Miller, is used throughout the paper and puts the discussion on a solid economic footing. From 2006 Enterprise Risk Management Symposium, M-AS06-1.

Description: The panel at this session of the SOA 2004 Annual Meeting describes and discusses methods that are currently used for quantifying credit risk, both from a portfolio perspective and an individual security perspective.

Description: This is a report on a special study of Major Medical Expense insurance by the Group Morbidity Committee. From Transactions of Society of Actuaries 1961, Vol. 13, No. 37.

Description: This presentation offers an overview of enterprise risk management with topics covering benefits of risk management for an insurance company, establishing an ERM framework, risk reporting, and predictions about the future of ERM.