Description: Risk Adjustment continues to be a hot topic in Health Insurance since its emergence. This mechanism came into being as a means of reducing the risk of selection, particularly in marketplaces where underwriting is not allowed, and rating factors are significantly restricted. Risk adjustment serves to adjust premiums to reflect the risk of individual members or overall members as a whole within a particular cohort of a health plan. Risk adjustment is not perfect, as it does not perfectly predict future costs or perfectly adjust for the differences in expected costs. Different marketplaces have different challenges with risk adjustment.

Description: The Casualty Actuarial Society, Canadian Institute of Actuaries, and the Society of Actuaries' Joint Risk Management Section and the Joint Risk Management Research Committee are pleased to make available a new report on the application of ERM. Authored by Bonnie-Jeanne MacDonald, Sim Segal, Michael Wolfson and Heidi Walsh, the report provides a novel demonstration on how ERM can be applied to serve the Canadian public by informing decision makers on the risks facing the current and future delivery of long-term care.

Description: The Society of Actuaries (“SOA”) Research Institute is the research arm of the SOA, providing objective, data-driven research that brings together tried and true practices and future-focused approaches to address societal challenges and business needs. The Institute provides trusted knowledge, extensive experience and new technologies to help effectively identify, predict and manage risks.

Description: This report describes two methods, an observation-based analysis and an actual to model analysis, to analyze long-term care insurance experience to determine if calendar year trends exist.

Description: The Society of Actuaries (“SOA”) Research Institute is the research arm of the SOA, providing objective, data-driven research that brings together tried and true practices and future-focused approaches to address societal challenges and business needs. The Institute provides trusted knowledge, extensive experience and new technologies to help effectively identify, predict and manage risks.

Description: The COVID-19 pandemic helped accelerate many changes in the Health Care system that were already taking place. The major disruptions to the way providers operated was quite evident with shifting of focus away from elective services to create capacity for treating COVID-19. However, even before the pandemic, providers were adapting to changes in their environments.

Description: This report is the fifth in a series of studies conducted jointly by LIMRA and the SOA Long-Term Care Experience Committee. The report presents results for industry long-term care insurance (LTCI) persistency. Persistency is examined based on eighteen participating companies reporting lapse, mortality, and total termination activity for calendar years 2000 through 2016. The report and a supplemental Tableau database with several dashboard views can be accessed in the Materials section.

Description: The Research Executive Committee (REC) of the SOA Research Institute oversees the funding of the Emerging Issues Pool. This key source of research funding is used to sponsor projects that are beneficial to the entire profession, across practice area boundaries that may require funding levels beyond the normal annual funding budgets of research committees and sections. The REC is issuing this Request for Proposals (RFP) to fulfill the strategic goals of the organization through the use of this pool for funding new projects.

Description: The Society of Actuaries' Pension Section and Health Section Research teams originally commissioned Professor Thomas E. Getzen of Temple University to construct a resource model for the projection of long term healthcare cost trends. The Society of Actuaries continues to make annual updates to the model to ensure its usefulness and relevancy.

Description: This SOA CPD course teaches practical techniques that actuaries can use to manage the financial control cycle in a health care company.