Description: Summary and analysis of the diseases and conditions exhibited in the Medicare Advantage population

Description: In the last research column, the Research Expanding Boundaries Pool (REX Pool) was discussed, and it was noted that it is now open for business. Since that time, applications from the first round of the pool have been reviewed. In total, the Research Executive Committee (REC) received 17 applications for funding, totaling over $900,000. After much deliberation, the REC allocated its 2012 REX Pool budget of $400,000 to seven diverse ideas that will become new SOA-sponsored (or cosponsored) research projects.

Description: During the past few years, performance, cost, and risk trends for Medigap products have undergone substantial changes. Some of these trends could ease cost pressures on Medigap insurers, while others might increase them. Part 1 of this Issue Brief article discusses current changing trends and considerations around about how they are impacting Medigap.

Description: Discover the key components of value-based care (VBC) contracts and their impact on provider credibility. Learn about benchmarks, measurement period results, and the unique challenges providers face in managing insurance risk. Gain insights into reducing costs and aligning financial incentives in the US healthcare market.

Description: This article provides a brief overview of the current state of machine learning (ML) and artificial intelligence (AI) as they apply to actuarial science, including discussion around the integration of actuarial judgment with ML and AI. It concludes with an example of explainable ML through a python tool known as SHAP (SHapley Additive exPlanations), which is able to explain the key drivers behind individual ML or AI predictions.

Description: An excerpt from a presentation at the 2014 Living to 100 Symposium, this article describes an open-source model for use by actuaries attempting to estimate future health benefit costs, discusses its strengths and limitations, and projects that spending for those age over 65 will take more than $13 trillion by 2055, about 50 percent of total medical expenditures.

Description: Complete issue of the October 2014 Health Watch Newsletter

Description: editor's corner October 2014 Health Watch

Description: Editor's comments on the publication

Description: Adapting actuarial skills for the new multidisciplinary work of healthcare delivery system reform.