Description: Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the member and increased payments to Medicare Advantage plans. Milliman's HCC prevalence study illustrates the significant variations in HCC prevalence rates by age/gender, geography, and population type and will assist plans in benchmarking the effectiveness of their own diagnosis code capture efforts.

Description: Realizing the impact of medical errors on the U.S. health care system, the Health Section commissioned a research project to measure the annual frequency of medical errors and their total measurable direct and indirect cost to the economy.

Description: The term manipulation means designing policies in such a way that they have attractive net cost indexes but are, nevertheless, a very poor buy for the consumer. This panel discusses what is meant by manipulation problem, how serious it is how the NAIC Advisory Committee proposes to deal with it and what responsibilities actuaries have in connection with this problem. From Record of the Society of Actuaries 1981, Volume 7, No. 4.

Description: Panel discussion on recent developments in individual disability insurance, including morbidity trends, reserving assumptions and variations, marketing and underwriting trends and trends in claims practices. Presented at the Spring 1975 Meeting in New York.

Description: Article provides an excellent summary of the importance of mathematics, computer models for determining the future for human-based financial security models, and the importance of recognizing how human behavior effects the financial security program.

Description: The financial reporting of insurance is necessarily a complicated process because of numerous and stringent regulatory requirements, the inherent difficulty in estimating both the probability and cost of long-term contingent events, product diversity, and new products, such as equity-linked annuities. This literature guide provides the user with a summary of representative sources of current general information for continuing education purposes.

Description: Review of Professor Belth's book 'Life Insurance: A Consumer Handbook'.

Description: This article is about the Course 8 series. Course 8 provides candidates with essential advanced specialized education in one of seven practice areas: individual insurance, group life and health, managed care, U.S. pensions, Canadian pensions, finance, and investments.

Description: This paper discusses some of the models used to quantify risk, note some areas where improvements in standard methods are needed, and in some cases suggest alternative approaches for risks in Property and Casualty Insurance and Life Insurance.

Description: The September 2014 Issue of the Financial Reporting Section's newsletter, The Financial Reporter