Description: In the evolving realm of healthcare actuarial practice, value-based contracts are reshaping the landscape. This article explores the pivotal role of AI-enhanced Electronic Medical Records (EMRs) in empowering actuaries to navigate this dynamic sector. Despite challenges in data standardization, AI-enhanced EMRs offer a solution by extracting and standardizing diverse medical records. The article delineates how AI-EMR integration benefits actuaries and provider organizations, enabling more accurate forecasting, earlier shared savings prepayments, and real-time quality metric aggregation. Moreover, it discusses how this fusion addresses historical data limitations, can help project catastrophic claims, and can help identify risk score capture opportunities. Ultimately, it indicates the transformative potential of AI-EMR synergy, positioning actuaries at the forefront of healthcare analytics with unprecedented precision and insight.

Description: This article provides an overview of critical illness insurance: history, product description, and the three primary ways to offer critical illness coverage in the United States. This article also contains an illustration of an issue age premium rate calculation, as well as product features and rating applications specific to the various types of critical illness coverage.

Description: There are early indications of a six year cycle in ACA markets reminiscent of the traditional underwriting cycle.

Description: Update on Health Section research projects and topics, including health care reform, complexity science, and strategic planning.

Description: This is an article about debt protection and credit insurance as products. From Small Talk Newsletter, November 2005, Issue No. 25.

Description: Adding value in the development, production and marketing process of medical devises regulatory environment, designer/manufacturer perspective, product failure and litigation risk. Issue No. 44.

Description: This article is about our dependence on prescription drugs, their cost and the desire for insurance coverage of drugs.

Description: This article contains a listing of the publications of the National Center for Health Statistics. Copies of any of the listed publications can be obtained from the National Center for Health Statistics, Rockville, Maryland. In ordering, the series number and the number within the series should be given.

Description: This note compares hospital utilization and average daily hospital costs for persons aged 65 and over as indicated by 1968 data under Medicare's Hospital Insurance Program and from the American Hospital Association.