Description: The National Association of Insurance Commissioners (NAIC) is moving forward to implement a new regulatory requirement that requires U.S. insurers to perform an Own Risk and Solvency Assessment (ORSA). Before developing a response to the ORSA requirement, insurers will want to understand its genesis and the underlying rationale for it, as well as its implications. This essay provides an overview of the evolution and rationale for ORSA, as well as practical implications for insurers as they begin to design an ORSA process. Part of the essay collection "Risk Metrics for Decision Making and ORSA"

Description: This article from major US payers describes palliative care as a scaleable means of improving quality and reducing costs during serious and complex illness.

Description: The September 2013 issue of the SOA Marketing and Distribution Section’s newsletter, NewsDirect

Description: Many top-performing businesses aren’t just risk aware, but rather risk intelligent. Such a posture helps prepare companies for a major event and can demonstrate to a regulator or auditor that an appropriately strong control framework is in place. Better still, companies gain real strategic value from a “risk adjusted” understanding not only of their threats and vulnerabilities, but also the upside opportunities associated with various risks. It starts with having both qualitative and quantitative information to identify, assess and manage risks. Strategic risk management, at its core, is about creating value by increasing transparency and accountability, and quality of information. More than a mere compliance exercise, effective risk management enables more informed strategic decision making, increased accountability and transparency, a greater likelihood of organizational success, and – ultimately – competitive advantage, as borne out by many studies that correlate risk management and financial results.

Description: Panel discussion focusing on managing health care costs.

Description: At the 2012 ILTCI Conference in Las Vegas, a group of Long-term Care Industry professionals decided we wanted to do something a little bit different. We wanted the audience of our session, "Underwriting and Claims: From the Outside Looking In", to hear from the people who matter most to the LTC industry………our constituents. And we wanted the audience to have the opportunity to discuss issues with these constituents in an open, upfront format.

Description: A discussion of the efforts to implement straight through processing and standardization of the HIPAA form for long term care claims data.