Description: This document provides key findings from the 2007 Risks and Process of Retirement Survey related to health and long-term care risks in retirement.

Description: This is a final report to help individual health plans evaluate and manage their potential exposure during a specific pandemic. It examines the potential impact of pandemic influenza on different payers in the U.S. health care system.

Description: Chapter 5 simulates the risk adjustment process within a hypothetical purchasing alliances using four different risk assessment methods. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.

Description: Three appendices: Selected Readings, Summary of Data Preparation and Data Issues, and Detailed Results on Predictive Accuracy. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.

Description: Chapter 1 presents the background to the current study, followed by the methodology used, and a summary of the findings of the study. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.

Description: In this, the second step, Sibson engaged the vendor and actuarial communities to solicit input on the actuarial model for determining the impact of various environmental, lifestyle and behavioral risk factors. The goal was to understand the extent to which actuaries currently use models around wellness, refine the above conceptual model, and better understand the potential uses of, and value to, the actuarial and vendor communities that would use such a model. We sought to understand the potential applications and sources of data for the actuarial model. We gathered input on how the model would best suit the professional needs and help shape the future role of the actuary. Lastly, we gathered feedback on the above conceptual model.

Description: The ACA’s Medical Loss Ratio Provisions

Description: Introduction to the ACA @ 5 publication

Description: Risk adjustment is used to adjust the revenue stream to health insurers that sell ACA eligible plans and Medicare Advantage plans. This article compares and contrasts these risk adjustment programs.

Description: This session is about rationing health care. From Record of Society of Actuaries Vol. 18, No. 4A.