Underwriting and Managing Disease Management Guarantees

Solucia Inc. invites you to attend a webcast entitled: "Underwriting and Managing Disease Management Guarantees". Speakers are consulting actuaries Ian Duncan, FSA, MAAA (designated "the leading actuary in Disease Management" by Al Lewis of the Disease Management Purchasing Consortium) and Kevin Gabriel, MBA, FSA, MAAA. Attendees will learn the basic concepts of risk as they pertain to DM, the basics of savings estimation and risk pricing, and the key factors to keep in mind when negotiating a guarantee.

Purchase the Conference CD ROM

What You'll Learn:

Terminology and Types of Disease Management Guarantees

• Absolute, proportional and other financial guarantees.

Financial Guarantee Underwriting

• What to look for in a client for whom a guarantee is requested.
• What data is needed?
• What are the warning signs?

Savings Estimation - Importance of Understanding how Measurement will be performed

• How will savings be calculated for the guarantee?
• Ensure that the right protections are built into the contract.

Pricing the guarantee

• Trade-off between risk and reward.

Ongoing Risk Management

• The importance of a financial model and variance process.

The Details

Original Webcast: Thursday, September 8, 2005

CD-ROM: $100 for non-attendees.

Purchase the Conference CD ROM

Our Speakers

Ian Duncan, FSA MAAA, President, Solucia Inc.

Ian Duncan has thirty years of experience in the healthcare actuarial field. He led the Health Underwriting practice at PricewaterhouseCoopers Management Consulting, and between 2000 and 2002 was General Manager of a start-up provider of predictive modeling and other services to the Disease Management industry. Clients included United Healthcare, HealthNet of Arizona, Lifeguard and M-Plan. Currently he consults to vendors and purchasers of DM services, health plans, predictive modeling companies and reinsurers who are seeking a financial return for their Medical Management programs.

Kevin Gabriel, MBA FSA MAAA, Vice President and Consulting Actuary, Solucia Inc.

Kevin Gabriel has twenty years experience as a Healthcare actuary, almost all of it in the medical arena. His work has focused on the design, pricing, and financial analysis of plans covering commercial, Medicaid, and Medicare populations. In addition, he has analyzed disease management program outcomes for both Commercial and Medicaid populations. In addition, he has worked with a major provider of predictive modeling software to develop a complete model of medical costs. His expertise extends to both the areas of direct insurance and reinsurance. Purchase the Conference CD ROM