Description: Presented at June 2002 Spring Meeting. This session discusses how credibility varies by size of groups for various health coverages, when a block of business can be considered fully credible, how credibility can factor into a rate filling, and to what extent current experience can be considered more credible than past experience.

Description: This paper presents population hospital utilization data concerning the proportion of total hospital days that is due to injury and the proportion of total hospital days that is spent in intensive care units for use in obtaining reserve factors. The paper also presents continuation data for hospitalizations. From Transactions of Society of Actuaries 1979, Vol. 31.

Description: Chapter 2 analyzes, in table form, the study's claimant counts and charge totals, broken down by gender, age, diagnosis category, year, and by subscriber vs. dependent status. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.

Description: Analysis of possible mathematical relationships between hospital quality and hospital billed or allowed charges or other measures, using quality data as defined by the U.S. Department of Health and Human Services along with the Hospital Quality Alliance for their Hospital Quality Initiative.

Description: This session discussed about expected trends in medical care costs, changes in Medicare reimbursement practices and their short- and long-term effects, the emerging responsibility for providing long-term care, rise of managed health care, new and old participants, selection issues, multiple options, and small group market.

Description: Chapter 7 analyzes, in table form, the study's claimant counts & charges per claimant in relation to deductible and broken down by diagnosis category. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.

Description: Chapter 1 presents the background to the current study, followed by the methodology used, and a summary of the findings of the study. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.

Description: The Society of Actuaries SoA developed this research project to repeat and expand upon its “Group Medical Insurance Large Claims Database Collection and Analysis” study, which was published as a monograph in August of 1997. The general purpose of these studies is to discover and analyze factors affecting claim incidence rates and the distribution of claim sizes. This is the report for the database. Please see the SOA website experience studies for Group Health for the databases themselves.

Description: Report on the activities of the Academy’s health practice council and its work groups.

Description: Data requirements for the Society of Actuaries cancer experience study, for those submitting exposure and claim information.