Description: This article discusses the use of parametric distributions to model health care cost.

Description: Private LTC insurers are paving the way for value-based care through working to implement care management programs that improve the lives of their policyholders before and during a claim. However, measuring the effectiveness of these new programs is a challenging task. In this article, we will explore powerful tools that can enhance traditional effectiveness studies and address some of their existing weaknesses.

Description: This paper presents simple Bayesian graduation models that substantially ease the prior elicitation burden, and also describes a Monte Carlo integration approach that greatly reduces the computational load.

Description: Traditional risk scoring models include only fixed (non-random) demographic and condition-based variables. By including the provider effect as part of the risk scoring model as a random effect, we can get better estimates of provider performance (incorporating practice patterns conditional on patient morbidity profile). This approach can be generalized to study other factors that are now masked in error variance (i.e. area, Social Determinants) but if modeled could give us better estimates of risk

Description: LTC insurers are beginning to implement population health programs to improve the lives of their policyholders before and during a claim. Measuring the financial impact of these programs can be difficult for a variety of reasons and multiple methodologies are used to evaluate treatments or programs. This article proposes two different methods of randomized control trials to evaluate the impact of these programs through a case study approach, along with additional potential considerations when evaluating effectiveness.

Description: Discusses the Canadian Institute of Actuaries' disability morbidity study to update the 1964 CDT and explains the techniques used to interpolate incidence rates from the 1964 CDT.

Description: Recognizing an opportunity to help serve its members in this age of increased financial oversight, the Health Section of the Society of Actuaries commissioned a series of guides on the use of statistical techniques specifically geared for the work of health actuaries. In this first guide in the series, the topic is an estimate well-known to health actuaries- the calculation of incurred but not reported [IBNR] health claims reserves. In particular, this guide focuses on the development of confidence intervals around IBNR estimates.

Description: This note describes a mortality investigation procedure in which the expected mortality applicable to each new policy for a period of about three years after issue is estimated by use of persistency factors. Discussions of this paper are included.

Description: Presented at Living to 100 symposium, January 2011. This paper presents a method for using death records to infer exposure on non-extinguished cohorts, thereby allowing the development of a credible table for high ages.

Description: Discussion of machine learning applications currently being used to augment traditional actuarial modeling in the life insurance industry. This includes data science techniques for: Quantifying and explaining differences between model versions or reporting periods Building proxy models for actuarial model output using machine learning One-class classification for data integrity checks Applications of unsupervised learning (e.g., clustering and principal components analysis) to reduce model run time