Description: This article attempts to make a modest contribution to the dialogue on the potential and risks associated with novel treatments such as cell & gene therapies. With a fast-expanding roster of what are believed to be one-time treatments at ever increasing price points aimed at curing a wider swatch of the population, they are as much a source of relief for patients stuck in medical limbo, as they are a source of anxiety for payers.

Description: In this paper the authors analyze data from group medical expense insurance claims and show that many insurance loss distributions have very 'heavy tails' because large losses represent a disproportionate fraction of the total cost. They also present a simple model to reproduce and explain the large loss behavior. From Actuarial Research Clearing House 1990, VOL. 2

Description: Panelists discuss the different aspects of contract reserves for medical products under both the statutory and the GAAP requirements. Session 23PD of the 2005 Valuation Actuary Symposium.

Description: Milliman performed an analysis of 894 uses of the checking service on individual medical health insurance applications to gain a better understanding of its protective value. From Health Watch Newsletter, September 2006, Issue No. 53.

Description: This 1991 panel discussion is about mid-size and large group medical issues, including: 1. Managing the underwriting cycle, 2. Effectively managing the risk, 3. Controlling medical costs, 4. Financial arrangements offered to control or shift risk [i.e., Administrative Services Only [ASO] and minimum premium contracts], and 5. The effect of the Resource-Based Relative Value Schedule [RBRVS] on provider fees and plan costs. From the Record of the Society of Actuaries Vol. 17, No. 4A.

Description: Panelists at this session of the SOA 1998 Maui II Spring Meeting discuss the purpose and expectations for medical savings accounts [MSA] at the time the Health Insurance Portability and Accountability Act was enacted, and whether these expectations have been achieved.

Description: This is the second article in a four–part series. In this article, the industry's products are examined.

Description: Discover the key components of value-based care (VBC) contracts and their impact on provider credibility. Learn about benchmarks, measurement period results, and the unique challenges providers face in managing insurance risk. Gain insights into reducing costs and aligning financial incentives in the US healthcare market.

Description: This paper examines the financial dynamics resulting from the currency exchange rate for medical insurance products that are denominated in a currency different from that in which covered medical expenses are incurred. From Transactions of Society of Actuaries 1995, Vol. 47.

Description: Panelists at this session of the SOA 1989 Chicago Spring Meeting discuss Health Maintenance Organizaions [HMOs] including their hisotry, the marketplace, physician structures and relationships with HMOs, cost control issues and the future of HMOs.