"Managed Care Technology, Trends and Budgets: A Discussion of Challenges, Possibilities and Solutions."

SIGN UP NOW! FREE WEB-CAST:
http://placeware.viewcentral.com/events/cust/search_results.asp?cid=vips&pid=2

Lotter Actuarial Partners' Ian Duncan will be participating in a session on May 6 at 2:00 ET.  The web cast is sponsored by ViPS. If you are unable to listen at this time, the session will be recorded and available on the ViPS site. 
For more information, go to: 
http://www.vips.com/prmwebinar/

Study of Predictive Modeling applications in Managed Health Plans to be published.

The study, by Ian Duncan, Henry Dove, Ph.D. and Arthur Robb, Ph.D., will be published in the peer-reviewed journal, the American Journal of Managed Care (May, 2003). A requirement for population risk management in a health plan is the ability to stratify and target members for services. Health plans usually focus on current high-cost members, excluding those who are risk of becoming high cost in the future. We discuss an approach to identifying current low-cost members at risk of becoming high-cost consumers, and report some results from a specific model. For copyright reasons, we cannot publish a copy of the article on our website. If you are interested in obtaining a copy of the article, please contact us using the following automated link: 
info@lotteract.com

Critical Illness (Second Part Primer)

Johan Lotter, a nationally-recognized expert in critical illness pricing, policy design and reinsurance, addresses Society of Actuaries Conference on trends in Critical Illness product design.  SecondPartPrimer.pdf

Read Johan's First Part Primer if you missed our previous newsletter

Industry Happenings:

Ian Duncan has joined the Quality and Research Committee of the Disease Management Association of America (DMAA; www.dmaa.org.) DMAA is the disease and utilization management industry’s trade association, working to provide cost effective, quality healthcare in the next millennium. Specifically, the Q&R Committee aims to promote a more scientific approach to the measurement of the outcomes of disease management programs.

Upcoming Speeches and Presentations;

Ian Duncan will be chairing a session at the upcoming Society of Actuaries Spring Meeting in Vancouver, B.C. The session, entitled: “New Strategies in Disease and Utilization Management” takes place on Monday June 23. Speakers include Dr. Thomas Wilson, author of the DMAA’s recent study of disease management outcomes measurement methodologies, and Alison Johnson, RN, MBA of Milliman USA. Alison is author of a recent study: “Disease Management: the Programs and the Promise”. Actuaries and others who are interested in forming an actuarial measurement special-interest group are invited to e-mail us, or meet at the Vancouver meeting. More information about the meeting is available at: http://www.soa.org/conted/vancouver/vancouver.html. 
For copies of presentations and other information, email us at: 
info@lotteract.com