Description: In this editorial the author discusses how actuaries can help mitigate the impact of managed care lawsuits. Examples are provided. From: The Actuary, April 2000 – volume 34 - Issue 4.

Description: The advent of machine learning algorithms has taken predictive analytics and risk scoring to a new level. From gradient boosting machines to k-nearest neighbors regression, the use of these techniques has gained significant traction in healthcare - including health systems like the Cleveland Clinic. This session will discuss the use of predictive analytics to go beyond just assessing the risk of a patient, and instead focus on prescribing a specific intervention of care. In practice, the recommendation of a care plan goes beyond just attributing a score to a patient. It provides physicians and care coordinators the most probabilistic options - e.g. referral to social worker, depression screening, weight-loss program - for positively impacting a patient's future healthcare outcome.

Description: Presented at the Living to 100 Symposium, January 2011. Long-term care LTC insurance is frequently not covered by national social insurance programs. When costs are expressed as a percentage of gross domestic product, the future burden of financing LTC would not lead to unbearable tax levels and is not particularly large in comparison to the projected costs for pensions and health care. After identifying the breadth of definitions of LTC needs, it is argued that LTC is an insurable risk. The paper concludes that LTC social insurance is affordable in developed countries.

Description: This paper introduces continuing care retirement communities and outlines the major recent developments in financing procedures and regulatory requirements aimed at keeping these entities solvent. In particular, it describes the Actuarially Based Financial Management System created by the AAA and the accounting Statement of Position 90-8 promulgated by the AICPA. From Transactions of Society of Actuaries 1995 Vol. 47

Description: At this session of the SOA 1995 Vancourver Spring Meeting, members of the Long Term Care Insurance Valuation Methods Task Force present the conclusions and rationale found in their final report. Assumptions, methodology, and NAIC's view of the report are discussed.

Description: Research report describing an analysis of experience transition rates between Long Term Care insurance claim settings over the course of a claim. Examples of such transitions are from an assisted care facility to home health care or from home health care to a nursing home.

Description: Managing an in-force block of long-term-care insurance policies requires attention to maintain value to policyholders and persistency of healthy lives. In this session panelists discuss emerging experience in the US and UK, new product development, health risk, pricing, underwriting, claims management, experience monitoring and techniques to help viability & profitability. From the Record of the Society of Actuaries, Volume 28, No. 3, Session 82

Description: This article discusses what actuaries see as ideal components of a health care reform package with an emphasis on cost control, efficiency, elimination of fraud and reduction of errors.

Description: This article addresses the complexities and practicalities of constructing a continuance curve from long-term care LTC claims data.

Description: This report describes two methods, an observation-based analysis and an actual to model analysis, to analyze long-term care insurance experience to determine if calendar year trends exist.