Description: Risk Adjustment continues to be a hot topic in Health Insurance since its emergence. This mechanism came into being as a means of reducing the risk of selection, particularly in marketplaces where underwriting is not allowed, and rating factors are significantly restricted. Risk adjustment serves to adjust premiums to reflect the risk of individual members or overall members as a whole within a particular cohort of a health plan. Risk adjustment is not perfect, as it does not perfectly predict future costs or perfectly adjust for the differences in expected costs. Different marketplaces have different challenges with risk adjustment.

Description: An examination of past Flaspohler Survey data to identify drivers of direct writer satisfaction with reinsurers.

Description: This discussion at the SOA 2000 Las Vegas Spring Meeting focuses on the polictical landscape with respect to health care issues including Medicare, prescription drug coverage, the concept of a patient's 'bill of rights', and other health care reform ideas.

Description: This session discussion is about marketed health products, distribution methods, and experience. Discussion includes direct response, return of premium, accident, hospital indemnity, hospital income, medicare supplement, nursing home indemnity, long-term care and AIDS. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: This report explores two LTC insurance product concepts. The concepts were developed as part of an effort to create innovative new LTC insurance products.

Description: The SOA Research Institute has executed research for over twenty years on some repeating themes and topics. The reports build on each other and add content. This article summarizes and discusses a summary report on long-term care, caregiving and housing linked to long-term care and caregiving.

Description: This session discussion is about health care trends including current experience, measurement problems, effect of selection, and variation by size of group. Also discussed is the new Medicare RBRVS physician fee schedule, anticipated cost shifting, and AIDS. From Record of Society of Actuaries 1990 Vol. 16, No. 4A.

Description: This 1991 panel discussion is about health care trend including current experience, measurement techniques and problems, uses of trend projections, and other considerations such as the impact of selection and the impact of initial and renewal underwriting practices. From the Record of the Society of Actuaries Vol. 17, No. 3A.

Description: This session will explore the various contracting techniques that CMS, providers, and employers are using to achieve their strategic objectives across both the Commercial and Medicare markets.

Description: This session will address the increased cases of managed care in Medicaid states. This will include some indication of how utilization patterns differ for those populations versus commercial populations. From the Record of the Society of Actuaries, Vol. 21, No. 3b.