Description: This SOA-funded study examines the relative performance of different risk assessment methods and risk adjustment systems. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.

Description: Discussion of accident and sickness policies, including issues with underwriting and points for improvement. Transactions of SOA Vol. 6 No. 16

Description: Panelists discuss the history of this 75-year-old Medical Information Bureau MIB, its very active and data-rich source of medical information, and the services that the MIB offers to clients and other industry groups. From the Record of the Society of Actuaries, Vol. 24, No. 1.

Description: Panelists use defined-contribution health plan case studies to review successful plan designs, effective plan communication strategies and plan implementation issues. From the Record of the Society of Actuaries, Volume 29, No. 2, Session 64

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: Presented at April 1986 Spring Meeting. This session discussion is about what analysis is effective in measuring recent medical care experience and are the projected cost-containment savings presented to plan sponsors being realized.

Description: This session discussion is about pros and cons of the NAIC recommended rate filing guidelines, pros and cons of renewal rating practices of MET and individual major medical business. From Record of Society of Actuaries Vol. 16, No. 1.

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

Description: Presented at June 2002 Spring Meeting. Discusses the types of combination products currently on the market, as well as the challenges and opportunities involved in designing new types of combination products.

Description: This session discusses various techniques for evaluating the success of an existing network as defined by profitability, risk exposure and long-term viability. Topics include network design, provider changes and quality measurement. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 92