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: A discussion of pension reform in China at the time of the July 1997 introduction of a new unified pension system.

Description: The topic of social and demographic changes has been included in the Emerging Issues Advisory Committee's screening because changes in demographics and social norms can directly impact products offered and how they are distributed by the life insurance industry. Also, changes in demographics can impact pricing and underwriting refinements within the industry. This article focuses on mortality from obesity and on mortality of the older population.

Description: Trends in mortality have a huge impact on the insurance industry and its products, risks and profitability. Worldwide, life expectancy has increased continuously over the past decades. However, this progress—even without considering the Covid-19 pandemic—has been subject to strong fluctuations. In recent years, an increase in volatility can be observed. Various aspects—medical science, environment, lifestyle—have influenced the trend in the past. How can the life and health industry move forward in these uncertain conditions? In this article, we examine what has gone before and what can be learned from a closer analysis. What are the main drivers of the historical increase in life expectancy? What characterizes the dynamics of the recent past? How can mortality be projected into the future? How good are our methods of prediction and what are the risks? What risk management options are available?

Description: Part One of a three part discussion of A Social Security System for the 21st Century, this part focuses the broader international, social, political, cultural and economic trends that will govern the viability and sustainability of a social security system in the 21st century.

Description: Suicide is one of the ten leading causes of death in the United States and the only one of those causes that is trending in the wrong direction over the last 15 years. This article examines several aspects of suicide in the United States with a focus on its impact on the insurance industry. The findings were compiled from publicly available data through the Centers for Disease Control and Prevention, from internal RGA data, and also from interviews with topic experts. The article highlights the difference in suicide rates between the general population and the insured population, the proportion of claims from suicide, the spike in suicide rates at the end of the contestability (or exemption period), and current thoughts from counseling experts on prevention. It also demonstrates an increase in suicide rates during times of economic turmoil.

Description: The influenza pandemic of 1918-20 is recognized as having generally taken place in three waves, starting in the northern spring and summer of 1918. This pattern of three waves, however, was not universal: in some locations influenza seems to have persisted into or returned in 1920. The recorded statistics of influenza morbidity and mortality are likely to be a significant understatement. Limitations of these data can include nonregistration, missing records, misdiagnosis, and nonmedical certification, and may also vary greatly between locations. Further research has seen the consistent upward revision of the estimated global mortality of the pandemic, which a 1920s calculation put in the vicinity of 21.5 million. A 1991 paper revised the mortality as being in the range 24.7-39.3 million. This paper suggests that it was of the order of 50 million. However, it must be acknowledged that even this vast figure may be substantially lower than the real toll, perhaps as much as 100 percent understated.

Description: This article provides a perspective on the SOA’s Aging and Retirement research reports, and on the types of research that are included. The SOA does a lot of research on different retirement topics, and many people are not aware of the scope of this work. This article offers an overview of the big picture as we think about the future. The article describes longer-term challenges to the US retirement system and recent developments that have affected the system and created uncertainty. It provides an overview of what individuals have said about retirement and their view of post-retirement risks and planning in a variety of consumer research studies. It then reviews some of the research and provides information on summary reports which provide insight on the findings from multiple related research reports. It also provides information about consumer education and what is currently available and in process. It then focuses on how the SOA is helping retirement professionals understand current and expected change and discusses areas of uncertainty as we help those we serve deal with change.

Description: Excellent big picture view for planning a social insurance system with pay-as-you-go, required self-funded, and voluntary plans.

Description: Imagine that the insurance purchase process is a bridge. The customer is coming from one direction and crossing the bridge and the insurer is coming from the other side. The point at which they meet is the transaction point. At one time, customers were willing to completely cross the bridge to get to the insurer. They knew that they needed insurance, and like any retail purchase, they would “travel” to make it happen. Today, the insurers are normally the ones “journeying” across the bridge. This is the future of insurance — useful, convenient, intelligent protection that does its best analytic and protective work on the client-side of the bridge.