Description: Learn about key actuarial and analytic tools and methodologies used by commercial health insurance to identify and quantify drivers of healthcare cost and utilization (including wasteful and low-value ones) and risks. Use case scenarios in which these tools and methodologies apply, such as underwriting, reinsurance, medical management for population health and chronic diseases, managed care contracting, insurance market reform, provider payment reform, etc., will also be covered. Experience from the U.S., China and other parts of the world will be shared.

Description: Synopsis of Issue Brief prepared by Tax Work Group of the Academy-LTD Claim Reserve Assumption Basis: Use of date of incurral/date of issue of original policy.

Description: On March 22, 2022, the Wall Street Journal hosted its annual Health Forum, a virtual all-day event which included several sessions. This session was attended by experts across the healthcare space and attendees included many from the healthcare technology companies. This report summarizes the event.

Description: A study of whether tobacco, area and industry rating in one state may be reflecting unintended factors such as race, ethnicity or socioeconomic status. This study does not consider whether the rating factors accurately reflect underlying claims costs.

Description: This paper is being produced in conjunction with eight companion pieces reflecting a variety of stakeholder experiences with the development of the risk pool.

Description: Summary of the National Conference on Medical Costs, held in Washington, D.C. on June 28-29, 1967.

Description: Since 1942, Metropolitan Life has been producing tables that show the weights at which mortality is lowest. Their purpose is to promote sound concepts of weight control. This article discusses Metropolitan's 1983 height and weight tables.

Description: This session of the 1990 Valuation Actuary Symposium discusses health liabilities and reserves.

Description: In 1983, a poultry virus hit the jackpot in Pennsylvania. While making a copy of its genetic material, the virus made a tiny error. Because of that error, it began producing a slightly altered protein which allowed the normally benign organism to spread beyond its usual residence in chicken lungs and intestines. Soon it was burrowing into other parts of the birds’ bodies - including the nervous system, where it multiplied rapidly and began to cause disease. Could something like this happen to humans?

Description: Recap of the Brazil Insurance Markets in 2008.