Description: This abstract describes a paper that details the fundamental assumptions of the risk adjustment tool proposed for use in the Patient Protection and Affordable Care Act in January 2014 and the potential biases that could accompany its introduction.

Description: Increasing technology is available to create and disseminate educational resources worldwide. In response, this article advocates creation of open educational resources (OERs) that will benefit the actuarial profession with both recruitment and retention of members. Specifically, we describe OER contributions made at the University of Wisconsin-Madison and more recently through the ASTIN Academy, a working group of ASTIN, the non-life section of the International Actuarial Association. We advocate pushing boundaries and creating new ways of teaching effectively for the future. The innovative use of technology and open-source materials is a way to foster diversity, equity, and inclusion in the actuarial profession.

Description: View the following report regarding Risk Scoring in Health Insurance: A Primer.

Description: Panelists discuss recent developments that may impact health care costs over the next few years, such as: · Trends in research and treatment for various diseases · Advances in diagnoses, therapies, and medications · Various clinical trials From the Record of the Society of Actuaries, Volume 27, No. 1, Session 73

Description: This webcast will focus on recently published health research which examines the impacts of social determinants of health on oral health outcomes as well as on chronic kidney disease progression. Participants will gain insights on how different aspects of social determinants of health can impact how healthcare is delivered as well as the impact on health care costs.

Description: This is an abstract article about the Bayesian two-part model by Margie Rosenburg. ARCH 2008, Issue 1.

Description: Abstract from a paper that describes results from a hierarchical Bayesian statistical model which predicts the probability of Non-Acceptable Claim, an unnecessary hospital stay, using hospital discharge claim records as inputs.

Description: This report compares health care utilization and expenditures between individuals with Crohn’s disease who had used infliximab and those who had not. Claims data from the 1999-2003 Thomson Reuters MarketScan commercial claims and encounters databases and inpatient, outpatient, and prescription drug claims data of individuals older than 18 years of age with a diagnosis of Crohn’s were included.

Description: Provides an overview of the Academy Health organization, its annual research meeting, and the SOA participation at that meeting.

Description: Full version of Health Section News, Issue No. 54, January 2007.