Description: Article is about community rating and risk adjustment including possible disadvantages for healthy experience-rated or self-insured groups.

Description: Chapter 2 reviews previous research in the area of health risk assessment. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.

Description: Discusses components of health-care inflation and their impact on health-insurance products. These components include: utilization trends, consumer price index [CPI] changes, regional variation. From the 1988 Record of Society of Actuaries, Vol. 14, No. 1.

Description: This 1991 panel discussion is about medical claims management and keeping up with changes in technology. The panelists discuss the use of artificial intelligence in claims processing, 'intelligent' coverage cards, and code gaming problems. From the Record of the Society of Actuaries Vol. 17, No. 4B.

Description: Chapter 6 identifies four general and practical considerations in comparing methods: practicality and administrative cost, ability to restrict manipulation, timeliness and predictability, and incentives for efficiency and quality care. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.

Description: Introduction sets out the objectives of comparing the predictive accuracy of different risk assessment methods, comparing the different methods based on other criteria, and then examining issues related to high-cost individuals and conditions. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.

Description: Chapter 8 suggests possible areas for further research such as other data groupings, high risk pooling, how diagnosis-based risk assessment might be improved, study of an expanded list of high-cost diagnoses, and comparisons to diagnoses from earlier time periods. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.

Description: This SOA-funded study examines the relative performance of different risk assessment methods and risk adjustment systems. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.

Description: This session is about health risk adjusters and includes a discussion on risk assessment, actuarial applications, New York small-group reform, medical management applications, Rand 36, and other methods. From Record of Society of Actuaries Vol. 19, No. 4B.

Description: List of Tables. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.