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GLG News by Actuaries

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June 14, 2007
New Florida Laws Reduce Risk Adjusted Returns of Bermuda Reinsurers
Analysis of: GR Survey: Florida’s impact on Bermuda | www.globalreinsurance.com
Author: GLG Expert Contributor
Now that Florida is retaining a much larger portion of their more predictable catastrophe losses, insurers and reinsurers should be able to buy the high layer coverage they want at affordable prices.  The risk load charged for this high layer coverage would be significantly less than the risk load...
May 29, 2007
You Need to Consider Drug Mix and Plan Design
Analysis of: Comparison of Mail Order with community Pharmacy Cost | www.amcp.org
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
It is universal that the mail order distribution channel has lower generic utilization than the retail channel.   PBM pricing is always better for mail order scripts versus retail.  In addition, plan design is a major component of net claim costs.
May 28, 2007
Quality and Service Will Suffer With Outsourcing
Analysis of: Insurance Outsourcing Focuses on India | www.insurancejournal.com
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
Outsourcing won't work well until the Indian outsourcing firms develop the core competencies of key insurance operations.  
March 19, 2007
Life expectancy and cost of pensions promises seem set to continue to rise
Analysis of: Two-dimensional mortality data: patterns and projections | www.actuaries.org.uk
Author: GLG Expert Contributor
Life expectancies show a surprising degree of variation amongst developed nations.  Circumstantial evidence suggests that the U.K., U.S.A. and Germany have plenty of scope for further increases, compared to similar wealthy nations.  The implication of such increases would be increased cost...
December 4, 2006
Is PBM Transparency a Good Thing?
Analysis of: PBM transparency: More than meets the eye | www.benefitnews.com
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
This article discusses transparency in the context of retail pharmacies; however, PBMs are most profitable in the mail order distribution channel.Transparent PBM deals have more guarantees than implied by this article.
November 24, 2006
High Performance Networks
Analysis of: Pay-for-Performance Plans Now Common Among HMOs | www.nlm.nih.gov
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
One product the major healthplans are starting to sell are benefit plans (HMO's/PPO's) that utilize a high performance network (HPN).  The HPN is a more limited network of doctors who have shown that they are providing quality service and good value from a cost standpoint.
November 24, 2006
Walmart Program Beneficial to Consumers
Analysis of: Wal-Mart Expands Generic Drug Program | www.newsinferno.com
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
Many people with health insurance have pharmacy plans with generic copays with flat dollar minimums of at least $5.Walmart may gradually expand the program or add additional pricing tiers.
November 24, 2006
Why Are They Dumping?
Analysis of: Trend: Consumers dumping HMO plans | www.fiercehealthcare.com
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
HMO Plans have become very similar to PPO without an out-of-network benefit.Member cost sharing is typically lower than PPO plans making them more expensive.

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