Description: How predictive analytics techniques can be used in the health practice.

Description: This dissertation by Tia Sawhney will help you understand this issue and start measuring it, or start promoting equitable public policy.

Description: Actuaries should understand the economic considerations involved in the formulary drug decision-making process, and the presence of actuarial input in the process could improve it, especially by tying it to overall decision making for the health plan. From Prescription Drugs Monograph, M-HB04-1.

Description: Delinquency rates are closely related to the economic conditions and can be analyzed using measures of economic growth and stability. In an attempt to predict the delinquency rate for the health care equipment financial industry, we investigated the relationship between delinquency rate and key macroeconomic variables for the period from 1998 to 2008. The study reveals that the tightening credit standards and unemployment rate are the key macroeconomic indicators influencing the delinquency rate. The analysis further helps in arriving at a trigger to monitor the delinquency rate based on the macroeconomic indicators, thus enabling proactive portfolio management. Presented at 2010 Enterprise Risk Management Symposium, Society of Actuaries, April 12-15, 2010.

Description: Attempts to Quantify Potential Impact of Pandemic Influenza on the U.S. Life Insurance Industry

Description: This article gives an overview of retiree health aging curves. This overview is based on the author's paper entitled Aging Curves for Health Care Costs in Retirement which was published in the July, 2005 issue of the North American Actuarial Journal NAAJ. From Pension Section News, January 2006, No. 60.

Description: Discussion regarding who's to blame for cost increase, Government's role to ensure coverage and keep costs down, steps to control costs, plan design changes. Issue No. 47.

Description: This analysis provides an overview of the functional components of the managed care system. It discusses the market forces underlying the United States’ system for health care financing and delivery and suggests how market forces impact the health care industry. The analysis focuses on societal goals for health care delivery and on managed care’s effectiveness in enabling achievement of those goals. The analysis develops and uses an innovative model developed to summarize the complex interplay among the many stakeholders, or participants, in the health care system. The model provides a framework for analysis of the many relationships among stakeholders. The analysis also highlights current issues in managed care, particularly the barriers that impede collaboration among stakeholders.

Description: Panelists discuss the methods HMOs employ to measure their providers' quality of care, outcomes, compliance with best practice guidelines, and cost control. From the Record of the Society of Actuaries, Vol. 25, No. 2.

Description: On May 16th, the Social Security Boards of Trustees sent to the Congress the three annual reports OASDI, HI, and SMI. These reports present cost projections similar to those provided to the Congress last year at the time of enactment of the 1977 Amendments.

Description: Panel discussion on recent developments in individual disability insurance, including morbidity trends, reserving assumptions and variations, marketing and underwriting trends and trends in claims practices. Presented at the Spring 1975 Meeting in New York.