| Health
Risk Management (HRM) Subgroup
Solvency Grouplet
April 5, 2003
2:00 p.m. Central Time
Participants:
Trevor Pollitt (Leader), Tim Adams, Rowen Bell, Kara Clark, Randy Edwards,
John Stark
Despite the unfocused agenda, significant discussion occurred and led
to floating a proposed RFP past the Committee on Health Benefit Systems
Research.
Representation on the AAA RBC trend group
We discussed the current status of the above group, and believe that its
focus will be more on P&C concerns than on A&H. But to the extent
that A&H is perceived as similar to P&C, A&H companies might
be affected by the group's deliberations. We will not assign a member
to that AAA group, but will watch what they do, in case we feel a need
to step up later.
Our mission
Being actuaries, we closely examined the loose solvency definition in
the agenda, and with various minor tweaks, found it workable. Specifically,
we consider our purpose to be
- defining threats to the solvency of A&H insurers, especially by
comparing those with and contrasting them to threats to Life insurers'
solvency;
- extracting the solvency-specific items from the risk mapping done
by the Specialty Guide
grouplet, in conjunction with the above endeavor.
While RBC is one aspect of the quantification we seek, it is not the
primary focus of the group. To the extent that Life RBC factors are inappropriately
applied to A&H business, they fall under the first bullet above.
Our project
We considered but deferred developing an RFP on the effectiveness of current
metrics to predict future viability of A&H enterprises. Due to overwhelming
Medical representation in the group, we chose to first define an RFP about
quantifying the specific risks of healthcare provider networks. Kara developed
this immediately after our call, and after 2 days of comments, submitted
it for consideration. Kara is currently working on additional funding
sources.
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