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Analysis
of Health Carrier Insolvencies (HP102) - The report identifies
health carriers that became financially impaired during the last 20 years
and identifies the reason(s) each company became financially impaired.
The report was published in the Transactions of the Society of Actuaries,
Volume 47 1995.
Risk Adjustment Data Base Collection & Analysis (HP103) - The
monograph, A
Comparative Analysis of Methods of Health Risk Adjustment contains
the results of a study of the relative performance of different risk assessment
methods and risk.
Catastrophic Claims Health Data Base (HP104) - The project created
and describes a database of claims, usually related to catastrophic illnesses,
of $25,000 or higher. The study used information from 1991 and 1992 from
26 insurers. The 171,000 claims studied came from a base of nearly 3 million
insured for each of the two years. The final project was published as
SOA Monograph, Group
Medical Insurance Large Claims.
Health
Care Data Bases (HP112) - This project was a partnership effort
with the National Association of Health Data Organizations (NAHDO) to
develop a single, reliable source of heath care data for pricing and evaluating
future health care systems. This effort was particularly focused on the
need for data on Medicaid, Medicare and currently uninsured population
segments.
Managed Care Symposium (HP115) - Managed
Care in a Time of Transition Proceedings presents the papers
and discussions presented at the symposium in May 1998.
Definition
of Managed Care Effectiveness (HP117) - The paper published develops
and uses a model to summarize the complex players in the health care system
and their interactions.
Integrative Medicine (HP118) - Dr. David Eisenberg followed-up
on a previous study on "Integrated Medicine" which followed trends in
alternative medicine in the US between 1990-1997. It was published in
the Journal of the American Medical Association (JAMA), November
11, 1998, Volume 280, Number 4.
HEDIS
3.0 Study (HP119) - The study examines the reliability and validity
of the Health Plan Employee Data and Information Set (HEDIS) performance
measures and their effectiveness in measuring health plan performance.
Relationship Between HEDIS Measures and Health Plan Choices (HP122)
- The article, "HEDIS Measures and Managed Care Enrollment," written by
Michael Chernew and Dennis Scanlon, studies the relationship between HEDIS
measures and health plan choice. It was published in Medical Care
Research and Review, Volume 56, Supplement 2, 1999.
Continuing Care Retirement Communities (HP127) - The project, "Collection
and Analysis of Demographic Experience of Continuing Care Retirement Community
Residents" brings to a conclusion the CCRC Experience Data Collection
and Analysis Project of Hal Barney. It addresses experience relative to
various levels of care within CCRCs.
Medicare Drug Claim Costs (HP128/HP137) - The final report by Reden
and Anders collected and analyzed cost and utilization data on prescription
drug coverage for the Medicare population. It is available as, "Projected
Cost Analysis of Potential Medicare Pharmacy Plan Designs.”
The
Troubled Healthcare System (HP132) - The project evaluated the
current state of research on health care benefit system issues and optimizes
future involvement of actuaries to address these issues.
Health Claim Costs by Age for Older Americans (HP133) - The purpose
of the project was to examine the assumptions health actuaries are using
to differentiate costs by age for Americans in their retirement years
and study the data behind the key assumptions. The project resulted in
the paper, "Aging
Curves for Health Care Costs in Retirement.”
Analysis of Claim Based Risk Adjusters (HP134) - The end product,
"A
Comparative Analysis of Claims-based Methods of Health Risk Assessment
for Commercial Populations" expanded the findings of the 1995 SOA
funded research study, "A Comparative Analysis of Methods of Health Risk
Assessment," by comparing the predictive accuracy of various prescription
drug risk adjusters to the methods analyzed in the 1995, using similar
statistics.
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