Description: This paper presents an approach to analyzing continuing care retirement community [CCRC] data, and demonstrates the methods using data from a large CCRC. It is assumed that residents make transitions among a number of states that represent the levels of care required by residents. There is randomness associated with both the transition times and the states entered at these times. The model is conveniently characterized in terms of transition intensity functions, which represent the instantaneous rates of transition between pairs of states.

Description: This actuarial memorandum represents the first, formal actuarial opinion regarding the reasonableness of the premium estimates the Clinton Administration presented with its proposed Health Security Act. The memorandum presents the assumptions and methods used to develop an average 1994 premium estimate for the standard benefit package.

Description: This paper presents a multi-state stochastic model for analyzing continuing care retirement community CCRC populations. The model considers CCRCs with a number of independent living units and a skilled nursing facility. Residents may transfer temporarily or permanently to this facility. It is assumed that units vacated by deaths, withdrawals or permanent transfers are immediately occupied by new residents. Transfers are modeled using a time-homogeneous Markov process. The paper provides some probabilistic results and some numerical results obtained using this model. Some important generalizations of the model are also briefly discussed.