Description: Synopsis of the report of the SOA Medical Effectiveness Task Force, which discusses the concept of health plan performance measurement and the contribution actuaries can make to this.

Description: The Behavioral Finance subgroup of the Health Section will be publishing a series of literature reviews in Health Watch. This is the first review of three in the series. The reviewed article describes an attempt to place an econometric value on consumers’ preferences between broad and narrow networks.

Description: This paper proposes a new method to price the longevity risk premia in order to tackle the pricing obstacle. Based on the equivalent utility pricing principle, our method obtains the minimum risk premium required by the longevity insurance seller and the maximum acceptable risk premium by the longevity insurance buyer.

Description: List of Tables. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.

Description: This discussion on overinsurance focuses on speculative buying of life, AD&D, and disability insurance, the effect of expanded disability provisions in the Social Security Act on underwriting disability benefits, and the avoidance of overinsurance in medical benefits.

Description: This article compares three potential approaches to determining new coefficients for health-based risk scoring models: full recalibration, p-value credibility weighting, and penalized ridge regression.

Description: This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for fraud detection in Medicare.

Description: Loss ratio formulas that make it a good tool for financial analysis, with modifications for level premium business such as disability income and long term care.

Description: Calculation of IBNR Reserves compares IBNP lag method to Incurred Claims PMPM method which produces lower Variance. Issue No. 46.