Description: Court cases demonstrating how ERISA Preemption Clause makes it difficult for members to sue Managed Care Organizations MCOs. Issue No. 41.

Description: Panelists discuss the characteristics of and impediments associated with effective management of the long term care insurance market, particularly as it related to pricing, marketing, and underwriting. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: The Society of Actuaries' Long-Term Care Insurance Experience Committee is soliciting information on long-term care policies for both incidence lapse mortality and claim terminations from January 1, 2000 through December 31, 2011.

Description: Panelists discuss the results of the SOA's Intercompany Experience Study dealing with long-term-care insurance. From the Record of the Society of Actuaries, Vol. 25, No. 2.

Description: Discussion regarding who's to blame for cost increase, Government's role to ensure coverage and keep costs down, steps to control costs, plan design changes. Issue No. 47.

Description: Affordable Care Act and Payment Reform

Description: Projecting start-up capital requirements for Health care co-ops and public plans

Description: Essential Health Benefits and Actuarial Value

Description: This study was sponsored by the Society of Actuaries Health Section. This paper explores the relative significance of aging as a determinant of financial cost of health care beyond age 50, with particular attention to the effect for ages 65 and older. The paper presents concepts of aging factors and aging curves, which define relative values between ages for utilization or cost of health care services. General conclusions are drawn from Medicare data that utilization and cost differ by age, but that aging factors vary across services and may be less significant at very old ages. The author then turns to the question of measuring the significance of an aging curve assumption and what accuracy is lost in the simpler alternative of a single value across an age range.

Description: In this article, we will describe EY’s five-pillar approach that balances practicality with comprehensiveness, and how this applies to LTC model validation.