SPRING, 2004

Mary Ellen O’Donnell joins Lotter Actuarial Partners

Mary Ellen O’Donnell, a healthcare consultant with many years of managed care consulting experience has joined Lotter Actuarial Partners as a consultant. Mary Ellen was most recently responsible for sales and marketing at CareAdvantage, Inc., a New Jersey-based Case Management and Utilization Review firm, where she helped design and implement a risk-based DM/CM program for Lifeguard, Inc. More details can be found at http://www.lotteract.com/resumes/odonnell.htm. Mary Ellen can be reached at meodonnell@lotteract.com


Forthcoming Presentations of Lotter Actuarial Partners 

At the National Managed Health Care Conference in Washington D.C.  Ian Duncan will present as part of a workshop on predictive modeling on May 5. Ian Duncan will chair a panel and speak on Disease Management outcomes measurement at the Society of Actuaries Spring meeting in Anaheim on May 21. Speakers include Rob Parke, an actuary with Milliman USA and chair of the American Academy of Actuaries workgroup on Disease Management, and Jaan Sidorov, MD, chair of the DMAA’s Research and Quality Committee. During the Spring Meeting at San Antonio, Ian will moderate a panel on Intelligent Underwriting. The date is June 15. More information is available at www.soa.org 


Applied Actuarial Research Conference a great success

Lotter Actuarial Partners sponsored the Applied Actuarial Research Conference, March 8-9 in Orlando. Approximately 60 actuaries and non-actuaries attended; a good time was had by all in professional and networking sessions. Another conference is planned for March, 2005. Presentations and papers are posted at the conference website, http://www.cas.ucf.edu/statistics/AARCagenda.pdf


Actuarial Applications of Artificial Intelligence: Book Published 

“Intelligent and other Computational Techniques in Insurance”, edited by L.C. Jain (University of New South Wales) and Arnold Shapiro (Penn State University) was published in December. It contains a chapter entitled: “Population Risk Management: Reducing Costs and Managing Risk in Health Insurance” by Ian Duncan and Arthur Robb of Lotter Actuarial Partners. Copies are available from Lotter Actuarial Partners at $130.00 (incl. postage and packing). If you are interested in obtaining a copy, please email us at: Info@lotteract.com.


Risk Adjustment and Predictive Modeling Seminar 

The Society of Actuaries and Disease Management Association of America will jointly sponsor a seminar on Risk Adjustment and Predictive Modeling for health insurance. The Seminar will be held at the Inter-Continental Hotel, Chicago, on April 22-23. Ian Duncan will address the Seminar on disease management applications and models. More information may be obtained from info@lotteract.com


Lotter Actuarial Partners and Disease Management Association of America

Lotter Actuarial Partners has been chosen by the Quality and Research Committee of the Disease Management Association of America to lead a research project to develop standard definitions for many common and often-used terms. The Disease Management industry is both relatively new and the source of considerable published research. It is difficult to compare outcomes and results from the literature and elsewhere because the industry lacks standardization, particularly of definitions. This project, the first phase of which is scheduled for completion in the summer, aims to develop standard, consensus definitions for commonly-used terms. More information is available at info@lotteract.com


Society of Actuaries/Lotter Actuarial Partners DM Evaluation Project Update 

Under an award from the Society of Actuaries, Lotter Actuarial Partners has been researching the Actuarial Issues involved in care management (particularly Disease Management) interventions. A number of draft papers have been submitted to the Society’s Project Oversight Group. You can read more about the project (and download sample papers) at www.lotteract.com


Research Papers available on Lotter Actuarial Partners web-site 

New papers available for downloading on our website include:

On the Fair Value of Insurance Liabilities” by Donald D. Solow, FSA, MAAA
On ASOP No. 11” by Donald D. Solow, FSA, MAAA
On the Potential Accounting Problems Associated with DM Vendor “Extended Payment Plans” by Donald D. Solow, FSA, MAAA



 

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