Description: Research topics from Reinsurance Section.

Description: How does spousal contagion influence long-term care needs? This article provides high-level results of spousal claim analysis and discusses potential implications to the LTC insurance market.

Description: Support systems and new solutions to enable caregivers to deliver better care and reduce personal stress.

Description: Shared savings deals are all the rage these days. Significant numbers of payers and provider groups in many markets around the U.S. want to engage in shared savings contracts covering commercial, Medicare and Medicaid patients. The fundamental question underlying a value-based contract is, for whom is the value accruing? Ostensibly, value is accruing to the sponsor—whether employer or public payer—but should be accruing to the provider as well. Often design flaws in value-based arrangements and contracts and/or the inability to execute in a value-based paradigm diminish the savings that could have accrued, create inequities in value or drive unintended consequences. This presentation will provide attendees with insights into how to design a workable value-based payment initiative, how to educate both payer and provider participants, and how to oversee the initiative’s operations. Specific topics will include: • Attribution logic: prospective, retrospective and the details in between • Risk adjustment: why one model doesn’t fit all arrangements, and even if it does, how do you implement? • Data and reporting: matching business needs to the payer’s willingness to be transparent and provider capabilities • Quality improvement as a component of payment: actionable and tied to the attributed population or just “out there?”

Description: Column from the SOA staff actuary for the Long-Term Care Section.

Description: This article discusses the expansion of benefits supporting long-term care services in Medicare Advantage plans

Description: View the Candidate Questionnaire for Robert Eaton for the 2019 SOA Elections.

Description: Feature article discussing combination products.

Description: Experience reporting forms (ERFs) are submitted by LTC insurers each year tracking their experience by year for earned premium, incurred claims, policy reserves, claim counts and policies in force.

Description: The SOA Reinsurance Research Section is seeking proposals on Mortality Improvement Independ – Independent Analysis. Mortality improvement is an important assumption for projecting future liability cashflows and has a material financial impact on a company. Mortality improvement is a hot topic in the industry and companies show significant interest in understanding the key factors that differentiate mortality improvement. The focus of this research is to gain a better understanding of the main drivers of mortality improvement: