Description: Brief summary of Study Analyzing Demographic Experience of Continuing Care Retirement Community Residents. From Long-Term Care Newsletter, August 2002, Issue No. 6.

Description: This paper describes an actuarial methodology [adjusted average per capita cost - AAPCC] developed to meet the requirements of the risk contract that the medicare program makes available to certain health maintenance organizations. From Transactions of Society of Actuaries 1981, Vol. 33.

Description: 1992 SOA Annual Meeting, Washington, D.C. This session on Long Term Care Insurance addressed the following topics: 1. Highlights of research that HIAA has completed on long-term care. 2. Regulatory developments of long-term care such as state legislation on nonforfeiture. 3. Congressional activity and tax policy. 4. Research on the affordability of various long-term-care products and nonforfeiture options.

Description: In May 2019, the Centers for Medicare and Medicaid Services (CMS) released an Informational Bulletin clarifying how payments to subcontracted vendors should be accounted for in the medical loss ratio (MLR) calculation required by 42 CFR §438.8 as established by the Medicaid and Children’s Health Insurance Program managed care final rule published in May 2016. In the bulletin, CMS focuses on the responsibilities of a subcontractor in providing data and the proper accounting of subcontractor payments for purposes of MLR reporting. While the provisions outlined in this bulletin apply to all subcontractor relationships, CMS specifically highlights pharmacy benefit manager arrangements that may include “spread pricing” and rebate retention.

Description: Article summarizes the sessions of the 2011 SOA Health Meeting held in Boston.

Description: Discussion of Asset Adequacy Analysis for one company's Long Term Care Product. Includes a discussion of the need for better asset/liability risk management for this company and how asset adequacy analysis can lead to the development of new investment strategies for the Company.

Description: Provider Payment Arrangements, Provider Risks, and their Relationship with the Cost of Health Care

Description: This article is an overview of an SOA seminar on using predictive modeling and other quatitative approaches for evaluating direct marketing programs.

Description: Chairperson's Column from News Direct, January 2005, Issue No. 49.

Description: Discussion of the ways carriers can deliver a direct to consumer offering in a way that benefits, rather than alienates, the advisor channel.