Description: This project shows how to use agent-based models to simulate the behaviors of agents in complex health systems.

Description: In this era of rising health care costs, numerous efforts have been made to link quality and cost through multiple approaches. This is a report of a study, conducted by MPRO under contract with the SOA, in which they evaluate whether quality pays or not in an inpatient setting by carefully selecting a few hospitals in Southeast Michigan and retrospectively calculating their return on investment [ROI] in quality improvement [QI] activities within their organization.

Description: This paper explores how change in societal forces can affect the systems for providing security including private pensions, social security, life insurance and health insurance. The societal forces examined are changes in family, role of women, inflation and the age composition of population. From Transactions of Society of Actuaries 1978, Vol. 30.

Description: There is some reason to believe that the trend of life companies entering the A & S business will continue. Both the public and the government are becoming increasingly aware of the need and desirability for the widest possible coverage against the loss of income because of disability and against the cost of medical care. This should lead to an expansion of the market for A & S insurance which should attract still other companies to the field in the future. Followed by several discussion papers submitted

Description: This discussion on major medical expense insurance examines the trends in the types of plans sold, popularity of the comprehensive type of medical expense insurance plan, special problems, and dependent coverage. From Transactions of Society of Actuaries 1959, Vol. 11, No. 29 AB.

Description: This SOA report describes the components of margin for calculating capitation rates in a Medicaid context along with practical issues that MCOs may face.

Description: This paper presents a surplus-ratio goal that is appropriate for group accident and health insurance and discusses growth, the sources of gains and losses, ways to improve operating gain and tracking results against expectations. A discussion of the paper follows. From Transactions of Society of Actuaries 1977, Vol. 29.

Description: This paper explores the legislation of New York 65, the intent of which was to offer health benefits to persons age 65 and over without health examination or other evidence of insurability. From TRANSACTIONS OF SOCIETY OF ACTUARIES, 1962 VOL. 14, PT. 1 NO. 40.

Description: This project shows how to use agent-based models to simulate the behaviors of agents in complex health systems.

Description: This project shows how to use agent-based models to simulate the behaviors of agents in complex health systems.