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A Patient Centric Approach to AI in Health Insurance
A Patient Centric Approach to AI in Health Insurance The article explores how integrating ... scheduling coordinator within insurer apps presents a dynamic solution to the persistent challenge of patient ...- Authors: Scott Damery
- Date: May 2024
- Competency: Results-Oriented Solutions
- Topics: Health & Disability; Health & Disability>Health insurance; Technology & Applications; Technology & Applications>Artificial intelligence & machine learning
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Using Interpretable Machine Learning Methods: An Application to Health Insurance Fraud Detection
Using Interpretable Machine Learning Methods: An Application to Health Insurance Fraud Detection ... capability. Machine learning models provide a dynamic and data-driven approach to health insurance fraud ...- Date: Jan 2024
- Topics: Health & Disability; Health & Disability>Health insurance; Technology & Applications; Technology & Applications>Artificial intelligence & machine learning
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Critical Illness Turns 40!
Critical Illness Turns 40! This article provides an overview of critical illness insurance: ... would be at a new employer. As a result of this dynamic, there is some additional turbulence in the lapse ...- Authors: Jennifer Howard, Ashlee Borcan
- Date: Sep 2023
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Experience Studies & Data>Morbidity; Health & Disability; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Experience Studies & Data>Rate calculations; Health & Disability>Incidence; Health & Disability>Rates - Health & Disability; Health & Disability>Termination - Health & Disability
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Opportunities for Bundling Medicare Supplement and Short-Term Care: The Perfect Match?
profit emergence in later years. Another unique dynamic of MedSupp is its regulatory framework. Some MedSupp ... policies or none, the example demonstrates the dynamic present in bundling these distinctly different ...- Authors: Kenneth J Clark, Robert T Eaton
- Date: Mar 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Rates - Health & Disability; Long-term Care>Long-term care pricing; Long-term Care>Rates - Long-term Care; Long-term Care>Termination - Long-term Care
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Medicaid Hot Topics
Medicaid Hot Topics The always popular Medicaid Hot Topics session is back with discussions ... topics of interest to Medicaid actuariesMedicaid is dynamic and it is difficult to stay current on all of the ...- Authors: Taylor Pruisner, Daniel Brian Schnur, Sabrina Gibson, David Joseph Wierz, Jaredd Martin Keith Simons
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health insurance; Social Insurance>Medicaid
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Session 189: Health Insurers and Stress Testing Catastrophic Events
Session 189: Health Insurers and Stress Testing Catastrophic Events While intended to assist health plan ... for new membership Year 3: Antiselective dynamic with lower, more morbid membership 15 Stress ...- Authors: Ken Ehresmann, David Ingram, Reid Kinney
- Date: Mar 2020
- Competency: Leadership
- Topics: Enterprise Risk Management; Enterprise Risk Management>Risk measurement - ERM; Health & Disability; Health & Disability>Health insurance
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The Evolution of the Individual Market (Part II)
The Evolution of the Individual Market (Part II) Part II of a two-part series discussing individual ... regulations in 2017 and 2018 that has brought dynamic changes to the market. As these changes are being ...- Authors: Gregory Fann
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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Navigating Cost-Sharing Reduction Subsidy Defunding
Navigating Cost-Sharing Reduction Subsidy Defunding This paper will examine why CSR defunding ... due to CSR defunding exacerbates the underlying dynamic of the individual market. In theory, risk adjustment ...- Authors: Michael Cohen, Peter van Laarhoven
- Date: Mar 2019
- Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy
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The Development of WeChat Marketing and Distribution of Insurance Products in China
The Development of WeChat Marketing and Distribution of Insurance Products in China WeChat is gradually ... led society. “Guanxi” defines the rudimentary dynamic in personalized social networks of power (which ...- Authors: Society of Actuaries, Wanwan Huang
- Date: Dec 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health insurance; Life Insurance>Marketing and distribution - Life Insurance
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Health Watch, October 2018, Issue 87
Health Watch, October 2018, Issue 87 Read the October 2018 issue of Health Watch, published ... the other person’s shoes). But I know so many dynamic and personable actuaries that it often feels inaccurate ...- Authors: Society of Actuaries
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Up Front with the SOA Staff Fellow
Up Front with the SOA Staff Fellow Joe Wurzburger, Staff Fellow at the SOA, shares his ... the other person’s shoes). But I know so many dynamic and personable actuaries that it often feels inaccurate ...- Authors: Society of Actuaries
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Health Watch, February 2018, Issue 85
Health Watch, February 2018, Issue 85 Read the February 2018 issue of Health Watch, published ... the delivery of health care. This involves a dynamic risk assessment of both revenues and costs. Relative ...- Authors: Society of Actuaries
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, June 2017, Issue 83
they been more relevant than they are in today’s dynamic health care environment. THE BASICS First, so ... sessions • Network with 600+ peers • Learn from dynamic speakers on diverse topics Register by July 31 ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Up Front with the SOA Staff Fellow
Up Front with the SOA Staff Fellow Joe Wurzburger, Staff Fellow at the SOA, shares his views and ... they been more relevant than they are in today’s dynamic health care environment. THE BASICS First, so ...- Authors: Joseph Wurzburger
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Leader Interview
Leader Interview This article is an interview with an actuarial leader. Professional development=PD;Career ... consulting firm, and I have worked with some really dynamic and creative consultants over the years. I see ...- Authors: Gregory Fann
- Date: Mar 2017
- Competency: Leadership>Change management; Leadership>Influence; Leadership>Mentoring
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Health insurance
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Health Watch, March 2017, Issue 82
Health Watch, March 2017, Issue 82 Read the March 2017 issue of Health Watch, published by ... consulting firm, and I have worked with some really dynamic and creative consultants over the years. I see ...- Authors: Society of Actuaries
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Up Front with the SOA Staff Fellow
Up Front with the SOA Staff Fellow Joe Wurzburger, Staff Fellow at the SOA, shares his views and ... answer to the challenges we all face in today’s dynamic health care world. • Regulatory Resource. The ...- Authors: Joseph Wurzburger
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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The Sustainability of the New American Entitlement: Actuarial Values and the ACA
The Sustainability of the New American Entitlement: Actuarial Values and the ACA The article discusses ... by the Congressional Bud- get Office, before dynamic scoring was in play), available federal funds ...- Authors: Gregory Fann
- Date: Sep 2016
- Competency: Communication>Difficult message delivery; Communication>Persuasive communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Change management; Leadership>Influence; Leadership>Thought leadership; Professional Values>Ethical standards; Professional Values>Practice expertise; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: In The Public Interest
- Topics: Economics>Behavioral economics; Economics>Financial markets; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability
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Health Watch, Issue 79, December 2015, Health Watch
etc., one would be hard-pressed to find a more dynamic industry. And I’m proud to say that the Health ... Correction Models (VECMs), to model multivariate dynamic systems including time dependency be- tween economic ...- Authors: Society of Actuaries
- Date: Dec 2015
- Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Professional Values>Ethical standards; Relationship Management>Team leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science
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Up Front with the SOA Staff Fellow
Up Front with the SOA Staff Fellow Review of 2015 from perspective of the Health Section Health ... etc., one would be hard-pressed to find a more dynamic industry. And I’m proud to say that the Health ...- Authors: Joseph Wurzburger
- Date: Dec 2015
- Competency: Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Health Care Reform: Essential Health Benefits and Actuarial Value
Health Care Reform: Essential Health Benefits and Actuarial Value Essential Health Benefits and ... health plan designs. But the changes remain dynamic and unpredict- able. We continue to need the input ...- Authors: Catherine Knuth
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Section
Health Section Profile of the Health Section. Accountable care organizations;Patient Protection and ... effort to delve into topics involving these dynamic areas within the health care system. Our Health ...- Authors: Andrea Christopherson
- Date: Jan 2015
- Competency: Relationship Management>Team leadership; Strategic Insight and Integration>Strategy development
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Professional associations; Health & Disability>Health insurance; Public Policy
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Implementing the ACA: An Actuarial Perspective
Implementing the ACA: An Actuarial Perspective Interviews with several actuaries who are subject ... Heineman, ASA, highlighted the consolidation dynamic. “In general, I expect health plans to consolidate ...- Authors: Karin Swenson-Moore
- Date: Dec 2013
- Competency: Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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Health Watch, Issue 72, May 2013
Health Watch, Issue 72, May 2013 May 2013 issue of the Health Watch newsletter Health Care Costs;Health ... selection at a point in time; however, these are dynamic in any panel of patients. Each year, the budget ...- Authors: Society of Actuaries
- Date: May 2013
- Competency: Results-Oriented Solutions>Actionable recommendations
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Health Watch October 2012 issue
needs of a growing company, particularly in a dynamic financial and regulatory environment. By analyzing ... needs of a growing company, particularly in a dynamic financial and regulatory environment.- Authors: Society of Actuaries
- Date: Jan 2013
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries Explanation ... improvement without payoff can be frustrating, this dynamic also underscores the importance of simply improving ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Long Term Accumulation of Wealth - The Case of a Small Health Insurance Company
Long Term Accumulation of Wealth - The Case of a Small Health Insurance Company ... representation is expressed in terms of probabilities. • A dynamic stochastic model is a stochastic model that incorporates ...- Authors: Natalia Humphreys
- Date: Aug 2011
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Enterprise Risk Management>Capital management - ERM; Health & Disability>Health insurance
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Reflecting Risk in Pricing Survey Report
captured through assumption stress testing and dynamic lapse. Operational risk is generally not specifically ... reported using assumption stress testing (37%) and dynamic lapse formula(24%), while 17% use assumption ...- Authors: Society of Actuaries, Margaret O'Connor, Robert Stone, Donna Christine Megregian, Oliver Gillespie, Wing Fung Wong
- Date: Sep 2010
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Global Perspectives; Health & Disability>Health insurance; Life Insurance>Pricing - Life Insurance
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Enterprise Risk Management Practice as Applied to Health Insurers, Self-Insured Plans, and Health Finance Professionals Report
risk management (ERM) process is an iterative dynamic. The field is evolving as new issues and solutions ... Robert. 2008. “The Birth, Death and Resurrection of Dynamic Financial Analysis.” The Actuary, Oct/Nov.- Authors: Max Rudolph
- Date: Dec 2009
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Topics: Enterprise Risk Management; Health & Disability>Health insurance
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Visions for the Future of the U.S. Health Care System - Health Care Reform: What Problems Can We Realistically Solve?
increases or decreases costs. Understanding this dynamic, tech companies are encouraged to bring new technologies ... relatively minor delay, covered by insurance. This dynamic creates an unchecked engine of medical advances ...- Authors: Application Administrator
- Date: Jun 2009
- Competency: Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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U.S. Health Care - Where to Look for Reform
U.S. Health Care - Where to Look for Reform Essay discussing cost, quality and access of healthcare ... agendas and consumer driven health care be as dynamic as a full-of-choice, entrepreneurial driven system ...- Authors: Sam Gutterman
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge
- Topics: Economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Social Insurance>Medicaid; Social Insurance>Medicare
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Visions for the Future of the U.S. Health Care System
increases or decreases costs. Understanding this dynamic, tech companies are encouraged to bring new technologies ... relatively minor delay, covered by insurance. This dynamic creates an unchecked engine of medical advances ...- Authors: Society of Actuaries
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy
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Creating Value through Integrated ERM for Health Care Insurers in Europe
Creating Value through Integrated ERM for Health Care Insurers in Europe The paper ... dedicated risk analysis and quantification need to be dynamic, recognizing that catastrophic risks may also sometimes ...- Authors: George C Orros
- Date: May 2009
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Topics: Enterprise Risk Management>Financial management; Health & Disability>Health insurance
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Margins in Medical Claim Liabilities under Future Accounting Models
Margins in Medical Claim Liabilities under Future Accounting Models In 2007 the International ... with health care providers. In light of this dynamic, most U.S. medical insurers offer large group benefit ...- Authors: Rowen Bell
- Date: Aug 2008
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Actuarial Practice Forum
- Topics: Financial Reporting & Accounting>International Accounting Standards Board [IASB]; Health & Disability>Health insurance
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New Trends in Supplemental Benefits: Vision and Hearing
New Trends in Supplemental Benefits: Vision and Hearing New technologies have created alternative ... somewhat more expensive, costs $100. The wide dynamic range compression (WDRC) costs about $280, and ...- Authors: Floyd Martin, Matt Wickham, Charles I Berlin
- Date: Jun 2005
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Consumer-Directed Health Plans [CDHPs]
Consumer-driven health care is going to change that dynamic. Providers are going to need to operate in a free-market ... and better quality. An example of seeing this dynamic work is LASIK surgery. LASIK surgery is a benefit ...- Authors: James Galasso, Daniel Plante, Stephanie C Gorman
- Date: Jan 2005
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health insurance
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Bringing a Health Care Product to Market - A Case Study
Bringing a Health Care Product to Market - A Case Study This is a highly interactive role-playing ... written down. Wouldn't that be an interesting dynamic? On page 3 of your deposition, you talk about your ...- Authors: Dawn E Helwig, Karl Volkmar, Brad S Linder
- Date: Oct 2004
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Recent Mergers and Acquisitions Activity in the Health Arena - Implications for the Future
Recent Mergers and Acquisitions Activity in the Health Arena - Implications for the ... transactions primarily comes from. Another interesting dynamic is that before this deal The Hartford was the number ...- Authors: Thomas Corcoran, Eric L Smithback, Brian A Kane
- Date: Oct 2004
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Designing your Nontraditional Product from Start to Finish: Matching Underwriting to Experience
Designing your Nontraditional Product from Start to Finish: Matching Underwriting to Experience ... the state, and that creates a whole new pricing dynamic. Market pricing is determinable far more easily ...- Authors: Ian G Duncan, Michelle Moloney, Van Beach, George Stadtlander
- Date: Jun 2004
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Life Insurance
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Target Surplus and Reserves for Health Plans
Target Surplus and Reserves for Health Plans Measurement and benchmarking of surplus levels provide ... testing (CFT), gross premium valuation (GPV) and dynamic solvency testing (DST). To set the stage on ...- Authors: John Lloyd, John M Stenson, Daniel Pribe
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Valuation Issues: Traditional Products
Health Valuation Issues: Traditional Products Panelists lead participants in a discussion ... experiencing double-digit trends. The environment is dynamic and moving along very rapidly. We frequently get ...- Authors: Jin-Dih Shih, Martin Staehlin, Kenny W Kan
- Date: Jun 2003
- Competency: Communication; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Standards of practice; Health & Disability>Health insurance
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How Much in Enough? Capital And Surplus Management for Health Entities
actuaries. We work in a world that is somewhat dynamic and particularly reactive. As a result, and in ... have tried to force health actuaries into using dynamic financial analysis (DFA). DFA is, essentially ...- Authors: James E Drennan, John Lloyd, Richard E Swift
- Date: Jun 2003
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Number and Growth of the Unisured and Underinsured
Number and Growth of the Unisured and Underinsured Paper on the number and growth of the uninsured ... inadequacies of these data in fully capturing the dynamic health-coverage market. Macias E, Morales L ...- Authors: Society of Actuaries
- Date: Mar 2003
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Update on Provider Contracting
Update on Provider Contracting Panelists discuss the contractual relationships between health-care ... On average, it's about 36 percent. And this dynamic is going to be an important part of our commercial ...- Authors: Application Administrator, Oscar Lucas, Patrick F Gilligan
- Date: Oct 2002
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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New Paradigms of Provider and Network Management
New Paradigms of Provider and Network Management Experts discuss new strategies related to provider ... and relatively low cost per service, then the dynamic is much more something that physicians can manage ...- Authors: Dennis Hulet, Jay C Ripps, Thomas Snook, John M Wray
- Date: Jun 2002
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Surplus Management for Health Entities
Surplus Management for Health Entities Attendees gain exposure to various approaches for effective ... So on that side of it, you've always got that dynamic going on that is working against the management ...- Authors: Phyllis Doran, Thomas Snook, Richard A Swift, Douglas B Sherlock
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Trends in Large Claims
Trends in Large Claims Panelists and audience members give their views on health-insurance ... problems are classic. The medical aspect is so dynamic that it's hard to isolate a single component. It's ...- Authors: Thomas Doran, Patrick L Collins, Timothy Robinson, Russel Hugh
- Date: Jun 2002
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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The Actuary and Health Insurance Mergers and Acquisitions
with actual values as of the valua- tion date. Dynamic validations are sometimes performed to validate ... projected to actual historical operating results. Dynamic valida- tions can be very difficult for many types ...- Authors: James O'Connor
- Date: Apr 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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What Is the Unified Valuation System UVS and What Are its Origins?
What Is the Unified Valuation System UVS and What Are its Origins? A discussion of an alternative ... and enables the insurance industry to find a new dynamic dimension of service and protection. It is addresses ...- Authors: Donna C Novak
- Date: Apr 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Life Insurance
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A Retrospective - Health Care Reform In Kentucky
A Retrospective - Health Care Reform In Kentucky This article discusses health care reform ... lawmakers and policy analysts failed to understand the dynamic between risk classification and consumer choice ...- Authors: Carl Westman
- Date: Apr 2000
- Competency: External Forces & Industry Knowledge
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance; Public Policy
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Effectively Implementing Managed Care in the Small Group and Individual Markets
Effectively Implementing Managed Care in the Small Group and Individual Markets Panelists discuss ... convince them they could do some unusual, very dynamic things like pre-admission testing. They would ...- Authors: James O'Connor, James F Hall, Catherine Young
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Insurers - Balanced Market Has Twists And Turns, Nonetheless
Health Insurers - Balanced Market Has Twists And Turns, Nonetheless This article explores the ... continue operating in this rapidly changing and dynamic market. (Correspondingly, companies such as Aetna ...- Authors: Charles Carroll
- Date: Feb 1999
- Competency: External Forces & Industry Knowledge
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance
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Medicare + Choices: Impact of Self-Selection
Medicare + Choices: Impact of Self-Selection Panelists discuss different aspects of self-selection ... does vary a lot from plan to plan. Selection is dynamic: it changes over time. Finally, we must also ...- Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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Risk-Based Capital for Health Organizations
Risk-Based Capital for Health Organizations Panelists report on the status of activities by national ... test (current ratio) falls below threshold *Dynamic Financial Condition Analysis Financial reporting— ...- Authors: Julia T Philips, Donna C Novak, Steven Wander
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Health insurance; Health & Disability>Health risks
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Health Insurance and the Valuation Actuary
The interest rate is tied to the life insurance dynamic interest rate and that's currently at 4.5%. l ... constructed table of your own. There were too many dynamic variables to rely solely on a static reserve basis ...- Authors: Application Administrator, Michael Francescone, Frank E Knorr, Glenn A Giese
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Health & Disability>Health care; Health & Disability>Health insurance; Long-term Care>Long-term care insurance
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Gross Premium Valuations
as you think it should be, you tweak it. In dynamic validation you should be doing things like saying ... well the model is doing. We're working toward dynamic validation. It might not be going as well as it ...- Authors: Peggy Hauser, Robert Cumming, Ross Bagshaw
- Date: Jan 1998
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance; Long-term Care>Long-term care insurance; Reinsurance>Long-term care reinsurance
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Physician Incentive Programs
Physician Incentive Programs Panelists at this session of the SOA 1997 Palm Desert Spring ... location and then the structure of the managed care dynamic in your marketplace are all going to impact how ...- Authors: Larry Pfannerstill, Martin Staehlin, Application Administrator
- Date: May 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Risk-Based Capital According to the National Association of Insurance Commissioners 'NAIC'
Risk-Based Capital According to the National Association of Insurance Commissioners 'NAIC' ... health insurance. Mr. Wilcox: If we went to do dynamic solvency analysis across the board, then we could ...- Authors: Application Administrator, Steven Lippai, Donna C Novak, Robert Wilcox
- Date: Oct 1996
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Enterprise Risk Management>Capital management - ERM; Health & Disability>Health insurance; Public Policy
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Health Insurance and the Valuation Actuary
vitality of the company. This flows out of the dynamic solvency adequacy testing that they are required ... adequate. There has been some work done in the Dynamic Financial Condition Analysis Handbook and some ...- Authors: Jerry E Lusk, Donald J Martineau, Ed Butler
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Standards of practice; Health & Disability>Health insurance
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Exchange Rate Dynamics in Mixed-Currency Medical Insurance Plan Environments
a monthly basis. Also, this policy design with dynamic values pegged to a foreign currency may face legal ... other countries. In effect, recognition of this dynamic in the model would be one form of introducing changes ...- Authors: Frank E Finkenberg, Kevin Law
- Date: Oct 1995
- Competency: External Forces & Industry Knowledge
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance
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Risk-Based Capital: Health Organizations
Risk-Based Capital: Health Organizations This panel will discuss the current status of ... products. The amount of dividends was one of the dynamic features of the model. It varied with the accumulated ...- Authors: Darrell Knapp, Steven Lippai, Robert E Wilcox
- Date: Oct 1995
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Enterprise Risk Management>Capital management - ERM; Health & Disability>Health insurance; Public Policy
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Medical Savings Accounts
Medical Savings Accounts Panelists at this session of the SOA 1995 Vancouver Spring Meeting ... costs at the bottom may drop. I see it like the dynamic scoring they try to do in Washington when they're ...- Authors: Roland E King, Mark E Litow, Harry L Sutton
- Date: Jun 1995
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Capitation Issues
Capitation Issues This session from the 1995 SOA Vancouver Meeting reviews capitation arrangements ... are several opportunities for actuaries in the dynamic health care environment, such as clinical medical ...- Authors: Stephanie B Byrne, Mark J Cary
- Date: Jun 1995
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Provider Network Building In Nonmetropolitan Areas
small town, and there's a very close-knit kind of dynamic there. 62 PROVIDER NETWORK BUILDING IN NONMETROPOLITAN ... variations of those. But it's a very interesting dynamic in markets, because once a primary-care physician ...- Authors: James O'Connor, Roy H Flaherty, Douglas Freeman, Thomas L Wiley
- Date: Jun 1994
- Competency: Results-Oriented Solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Measuring Uncertainty in Loss Reserves
ordinarygeneral linear modeling. The second one is a dynamic logincremental modelthat usesthe Kalman filter-type ... LogIncremental LogIncremental Boot Operational Static Dynamic Strapping "time Consultants 3 3 1 7 Uoyds/RI 2 ...- Authors: Spencer M Gluck, Roger M Hayne, Thomas S Wright
- Date: Apr 1994
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Stochastic models
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Financial Projection of Health Coverage
Financial Projection of Health Coverage This session from the 1994 Valuation Actuary ... handbook entitled The Dynamic Financial Condition Analysis Handbook which focuses on dynamic solvency projections ...- Authors: Burton Jay, Ronald M Wolf
- Date: Jan 1994
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health insurance
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Health NAIC Emerging Issues
risk-based capital model consistent with the dynamic financial condition analysis handbook and its methodology ... think one area it's not consistent is that the dynamic financial condition analysis handbook clearly ...- Authors: Application Administrator, J Alan Lauer, S Michael McLaughlin, Bartley L Munson
- Date: Jan 1994
- Competency: External Forces & Industry Knowledge
- Topics: Actuarial Profession>Best practices; Health & Disability>Health insurance; Long-term Care>Long-term care insurance; Public Policy
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Individual Medical - State Regulatory Issues
Individual Medical - State Regulatory Issues This session is about individual medical and ... gain acceptancefrom regulatorsand the public. A dynamic limit which would reflect the environmentalfactors ...- Authors: Application Administrator, William J Bugg, Morton B Hess, Robert Cumming
- Date: Oct 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Duration-Based Policy Reserves
Duration-Based Policy Reserves This paper proposes a hypothesis that the negative public ... trend) over increasing premiums. • It provides a dynamic methodology for adjusting for deviations of actual ...- Authors: Application Administrator
- Date: Oct 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance
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Appointed Actuary Issues for the Health Actuary
Appointed Actuary Issues for the Health Actuary This session is about appointed actuary ... likely be developed that include dynamic morbidity models much like the dynamic models used for interest sensitive ...- Authors: Application Administrator, John A Hartnedy, Timothy Harris, Arthur Wilmes
- Date: Oct 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance
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The Latin-American Market
The Latin-American Market 1993 SOA Spring Meeting, San Diego. This session was about ... Reinsuranceadministrationmust be able to handle a dynamic retentionbased on currencyfluctuations. Beginningwith ...- Authors: Kevin Law, Camilo Salazar, Richard D Umstead, Enrique Kozolchyk
- Date: Apr 1993
- Competency: Strategic Insight and Integration
- Publication Name: Record of the Society of Actuaries
- Topics: Annuities>Marketing and distribution - Annuities; Health & Disability>Health insurance; Life Insurance>Marketing and distribution - Life Insurance
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Financial Projection of Health Coverages - Long-Term Projections
long-term projections. Surplus adequacy and dynamic financial condition analysis (DFCA) utilize long-term ... reserve premiums and units, and units in force. Dynamic validation means making sure that your assumptions ...- Authors: Helen L Hofmann, Ronald M Wolf, Robert Yee
- Date: Jan 1993
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Topics: Health & Disability>Health insurance
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Actuary's Role Under a National Health Insurance Plan
understand that we're working and living in a political dynamic. I see a number of phases coming out. There are ... forces over the next decade and look at a much more dynamic model as we're trying to develop projections.- Authors: Roland E King, Darrell Knapp, Keith Weaver, Frederick B Abbey
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Public Policy
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Product Management
Product Management 1992 SOA Regional Meeting, Anaheim. This session addressed the product management ... to market fast enough? - SetlJngassumptions - Dynamic budgeting models (breakdownanalysis) • Project ...- Authors: John Hele, Anne Katcher, Alastair G Longley-Cook, Steven Schreiber, John F Bevacqua
- Date: Jun 1992
- Competency: Strategic Insight and Integration
- Publication Name: Record of the Society of Actuaries
- Topics: Annuities; Health & Disability>Health insurance; Life Insurance
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Mid-Size and Large Group Medical Issues [25+ Lives]
Mid-Size and Large Group Medical Issues [25+ Lives] This 1991 panel discussion is about mid-size ... Samuelson theory related to hog prices, called the Dynamic Cobweb Theory. I like it because of the visual ...- Authors: Thomas Handley, John Lloyd, David A Harvey, JEANNETTE J HERRMANN
- Date: Oct 1991
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance