Description: This session will address the increased cases of managed care in Medicaid states. This will include some indication of how utilization patterns differ for those populations versus commercial populations. From the Record of the Society of Actuaries, Vol. 21, No. 3b.

Description: An update on HMO market trends and reinsurance products, and services supporting them.

Description: Presented at September 1995 Valuation Actuary Symposium. This session talks about the Long-Term Care Insurance Valuation Task Force report.

Description: This is the first place submission for the 2018 Student Case Study Challenge.

Description: Gross premium calculation methods may be arbitrarily separated into: a- Type 1 methods those which initially have commissions and other per cent of premium expenses in the denominator and b- Type 2 methods those which initially have commissions and other per cent of premium expenses in the numerator. The traditional Type 1 methods directly calculate the gross premium. The purpose of this paper is: 1. to present a Type 1 method of gross premium calculation which does the following: a Incorporates the cost of reinsurance into the gross premium calculation and may be shown as a level annual cost over the gross premium calculation period. b Calculates the effect on profit margins of a change in the retention limit without redoing the original calculation. c Calculates the premiums needed to break even e.g., amortize the initial investment in surplus at the end of each policy year as a by-product. d Calculates the profit or loss generated in each policy year or over any number of policy years for any gross premium without redoing the original calculation or first using a trial gross premium. e Directly solves for the gross premium that will produce any specified profit over any number of policy years without redoing the original calculation or first using a trial gross premium. f Directly solves for the premium that will produce a specified yield on surplus invested in new business by a flexible technique not first involving the use of the renewal net premium or any other preliminary gross premium. 2. to provide a mathematical definition of a financially meaningful average policy size which recognizes the cost of reinsurance. 3. to provide for mathematical definitions of common measures of profit, and the mathematical relationships between them. 4. To establish formulas expressing the effect of changes in various assumptions used in the gross premium calculation as a lev

Description: Answers to questions that have surfaced with regard to recent trends in the use of psychiatric medications, including relative effectiveness compared to prescribing patterns, drivers of prescribing patterns, classification and indications for recently publicized drugs, role of primary care providers, preventive use ofdementia medications, and new developments in the field.

Description: Discusses reserve valuation for long-term-care insurance [LTCI]. Includes the NAIC model law, federal tax issues, Valuation Actuary standards, cash-flow testing, and how a current company has gone about setting up its active and claim reserves. Session 4 of the 1991 Valuation Actuary Symposium.

Description: This session is about President Clinton's health care reform proposal. Topics discussed include: federal debate & the actuarial role, cost estimates, and actuarial issues contained in the proposal. From Record of Society of Actuaries Vol. 19, No. 4A.

Description: This session discussion is about overview of current trend experience, techniques of applying trends in rating, risk aspects of different trending methods, and implications of trend cycles for surplus requirements. From Record of the Society of Actuaries Vol. 15, No. 1.

Description: This is a 1992 panel discussion about health care reform. Topics discussed include the political environment on health care reform, how and why this environment has changed, the policy options for health care reform, how the political parties view these options, and the prospects for reform in the reasonably near future. From the Record of the Society of Actuaries Vol. 18, No. 1A.