Description: To develop a systematic strategy to identify and predict the financial impacts on pharmaceuticals, physician fees, inpatient services, and outpatient services.

Description: The last three decades have witnessed an important rise in number of people with diabetes in Asia, especially Type 2 Diabetes. Like no other common condition, numerous innovations are currently entering the healthcare system that will soon have a significant impact on management of the condition. This presentation explores the role played by sensors/wearables, artificial intelligence, new drugs and diabetes apps. We assess the realistic potential of such advancements and give an outlook on medium-term pricing and product development.

Description: This project shows how to use agent-based models to simulate the behaviors of agents in complex health systems.

Description: Presented at the Living to 100 Symposium, January 2011. In India, the prevalence of lifestyle diseases such as diabetes and cardiovascular diseases has been increasing tremendously. This spurt of diseases and the resultant morbidity is severely affecting the quality of life of the elderly. The problem is compounded by a medical and health care infrastructure which is inadequate to meet the challenge. This paper analyzes and estimates, using actuarial tools, the effect on the economy with particular focus on the present and future elderly segment of the population, identifies opportunities for insurers to address the situation, and suggests remedial measures to deal with the situation. Medico-actuarial studies in this area will also be covered.

Description: New and ongoing health projects at the Academy. From Health Watch, May 2008, Issue NO. 58

Description: Part 1 of a 2-part series exploring implementation issues for the Mental Health Parity and Addiction Equity Act of 2008 MHPAEA. Part 2 addresses the new enforcement safe harbor, how the regulations could impact the business of behavioral health care and the impending decisions for payors, employers, providers, and insureds.

Description: This session will describe best practices for the preparation of the actuarial memorandum that supports the statement of actuarial opinion that is part of a health annual statement and review highlights of the new (2019) practice note on this topic. Presenters will represent different perspectives to discuss the components of an actuarial memorandum and use examples to present best practices and practical application of the information presented in the practice note.

Description: Physician performance is key to minimizing the cost of health care and providing health care benefits. Measuring and managing physician performance may be the factor that determines who survives in the next century. This presentation from Session 70PD of the SOA 1996 Colorado Springs Meeting is about profiling and managing physician performance. From the Record of the Society of Actuaries, Vol. 22, No. 2.

Description: This session discussion is an overview of issues and recent developments: alternative delivery systems, managed care, utilization review, traditional group insurance, actuarial issues of AIDS, Medicare and retiree medical benefits, COBRA, the uninsured etc., HMO solvency, and long-term care. From Record of the Society of Actuaries 1988 Vol. 14, No. 1.

Description: This session discussion gives an update on topics of concern including AIDS, Organ transplants/mechanical implants, and medical breakthroughs and technology. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.