Description: This session will cover the definition of a risk-taking health entity, the kinds of risk and ways to measure it. Included is an update from the Risk-based Capital Task Force. From Record of Society of Actuaries Vol. 20, No. 3B.

Description: The evolving specialty pharmacy environment has created difficulties for actuaries pricing and forecasting pharmacy coverage. Unpredictable specialty pharmacy trends have increased insurers' earnings volatility and affected members' health care affordability. The presenters will highlight the current specialty drug development pipeline and explore specialty pharmacy drug trend management strategies. They will also provide concepts to help manage the coming wave of gene and cell therapies.

Description: Presented at October 1985 Annual Meeting. Discusses the outlook for U.S. government statistics after budget costs and restraints, statistics of income, outlook for linked studies among the different agencies, plans for a 1987 National Medical Expenditures Survey, and the use of government statistics in marketing studies.

Description: Panelists at this session of the SOA 2003 Vancouver Spring Meeting discuss Long Term Care Insurance pricing including the appropriate assumptions for claim costs, mortality, interest, lapse rates and required surplus, plus regulatory issues and the ability to obtain and implement rate increases.

Description: This paper includes three discussions. The first is about permanent type insurance used as a substitute for group term insurance. The second discussion is about long-term disability experience, offsets and underwriting. The third discussion is about medical care expense insurance including experience, trends, impact of Medicare and COB. From Transactions of Society of Actuaries 1968, Vol. 20 Pt. 2, No. 56

Description: Learn about key actuarial and analytic tools and methodologies used by commercial health insurance to identify and quantify drivers of healthcare cost and utilization (including wasteful and low-value ones) and risks. Use case scenarios in which these tools and methodologies apply, such as underwriting, reinsurance, medical management for population health and chronic diseases, managed care contracting, insurance market reform, provider payment reform, etc., will also be covered. Experience from the U.S., China and other parts of the world will be shared.

Description: This session 75PD of the New Orleans Annual Meeting analyzes derivatives contained in various insurance products and techniques used to hedge the derivative exposure. From the Record of the Society of Actuaries, Volume 27, No. 3, Session 75PD.

Description: This discussion at the 1989 Valuation Actuary Symposium focuses on methods and considerations that are currently being used in analyzing various risks of concern to the health valuation actuary. The session looks at concepts and types of risks, considerations and influences affecting the actuary, formulas and methods for evaluating risk, and the present status of the health insurance valuation actuary concept.

Description: These discussions at the 1967 New York and New Orleans Regional Meetings covered topics related to individual life and health insurance including health topics, individual life underwriting, reinsurance, individual policy pension fund expenses, tax sheltered annuities, and market testing products.

Description: Discussion of merger and acquisitions issues pertaining to health insurance business. Includes: 1. Due diligence 2. Valuation of business 3. Administrative problems to resolve.