Description: Report from research project that reviewed and inventoried the range of quality and efficiency measures that demonstrate the performance of hospitals and physicians. Besides outlining key areas of consideration for quality and efficiency measurement, this report also describes future opportunities for actuaries and other health professionals interested in this evolving area. The inventory part of the report is in a separate document.

Description: A discussion of the pillars required to build the needed paradigm for insurance company risk management. From The Actuary Magazine April 2005

Description: This paper presents a method of testing second-order stochastic dominance of risks. This methodology allows risks to be partially ordered by value with available data - requiring only that the risks have yields distributed as one of the location-scale family of distributions and that the actuary can specify that family.

Description: A new health insurance pricing model takes external market prices into account, as well as regulatory rate restrictions and other traditional pricing factors. Rather than being assumed at the outset, lapse rates emerge from the model, along with assessment spiral & loss ratio projections. Under the model optimal pricing strategy depends on whether the class being rated has a healthier than average mix of risks.

Description: Article is a detailed discussion of the Risk Management and Own Risk and Solvency Assessment (RMORSA) Model Act that was recently approved by the NAIC and is being adopted by legislatures across the country.

Description: Statistics were invented to describe heterogeneity and are now applied to tackle alea. It may not be appropriate. Let's clarify their field of relevance.

Description: In an effort to build a bridge between epidemiological and actuarial modeling, this paper analyzes possible financial arrangements made against expenses resulted from medical treatments given to insured patients. Based on classical compartment models, the first part of this paper designs insurance policies for susceptible participants facing the risk of infection and formulates the financial obligations of both parties using actuarial methodology. For practical purposes, the second part employs a variety of numerical methods for calculating premiums and reserves. The last part illustrates the methods by designing insurance products for the Great Plague in Eyam and the SARS Epidemic in Hong Kong.

Description: Using data from 12,571 publicly traded U.S. industrial firms spanning 1980 to 2004 for which quarterly firm specific financial variables and macroeconomic variables are available, this is the abstract of a paper that estimates the probability of bankruptcy/merger for each company and hence a prediction of bankruptcy/merger in the next quarter.

Description: From a session at the Spring meeting of the Society of Actuaries held in San Antonio, Texas, June 14-15, 2004 The panelists discuss the benefits of hedging variable annuity guarantees, the challenges they face and how they keep score.

Description: This presentation from Session 73 of the SOA June 2005 New Orleans Health/Pension Spring Meeting discusses the emerging risks faced by Social Security, Medicare, and other public sector retirement plans. From the Record of the Society of Actuaries, Vol. 31, No. 2.