首页 > 最新文献

North American Actuarial Journal最新文献

英文 中文
Why Changes in PBGC and FDIC Premiums Should Not Fully Reflect Changes in Underlying Risk (With Some Application to Long-Term Private Insurance Contracts) 为什么PBGC和FDIC保费的变化不应完全反映潜在风险的变化(适用于长期私人保险合同)
IF 1.4 Q2 Mathematics Pub Date : 2022-09-30 DOI: 10.1080/10920277.2022.2123362
David McCarthy
The degree of risk adjustment in both FDIC and PBGC premiums appears to be much smaller than actuarially fair. We explore why this is using a stylized theoretical model of multiperiod insurance contracts in the presence of moral hazard where the risk status of insureds changes over the life of the contract. If insureds value stable premiums and there is moral hazard, we show that the optimal multiperiod insurance contract for full insurance allocates greater premiums to higher risk states, and lower premiums to lower risk states, but the optimal allocation of premiums across risk states will usually not be actuarially fair. The degree of risk adjustment rises with the extent of moral hazard and falls as risk aversion rises. We extend our analysis to examine optimal risk classification in private insurance in the presence of moral hazard, with similar results. We also discuss practical considerations that further reduce the desirability and feasibility of actuarially fair risk adjustments in premiums for the FDIC and PBGC, and show how our model extends prior work on social insurance with moral hazard.
{"title":"Why Changes in PBGC and FDIC Premiums Should Not Fully Reflect Changes in Underlying Risk (With Some Application to Long-Term Private Insurance Contracts)","authors":"David McCarthy","doi":"10.1080/10920277.2022.2123362","DOIUrl":"https://doi.org/10.1080/10920277.2022.2123362","url":null,"abstract":"The degree of risk adjustment in both FDIC and PBGC premiums appears to be much smaller than actuarially fair. We explore why this is using a stylized theoretical model of multiperiod insurance contracts in the presence of moral hazard where the risk status of insureds changes over the life of the contract. If insureds value stable premiums and there is moral hazard, we show that the optimal multiperiod insurance contract for full insurance allocates greater premiums to higher risk states, and lower premiums to lower risk states, but the optimal allocation of premiums across risk states will usually not be actuarially fair. The degree of risk adjustment rises with the extent of moral hazard and falls as risk aversion rises. We extend our analysis to examine optimal risk classification in private insurance in the presence of moral hazard, with similar results. We also discuss practical considerations that further reduce the desirability and feasibility of actuarially fair risk adjustments in premiums for the FDIC and PBGC, and show how our model extends prior work on social insurance with moral hazard.","PeriodicalId":46812,"journal":{"name":"North American Actuarial Journal","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41804844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Updating Bonus–Malus Indexing Mechanism to Adjust Long-Term Health Insurance Premiums 更新奖金-Malus指数机制以调整长期健康保险费率
IF 1.4 Q2 Mathematics Pub Date : 2022-09-30 DOI: 10.1080/10920277.2022.2110123
Atefeh Kanani Dizaji, Amir T. Payandeh Najafabadi
Economic shocks, high inflation, longevity, and new emerging technologies make the long-term health care insurance challenging for insurers. To overcome this problem, an indexing mechanism has been employed to update predicted premiums based on the new information in hand. Such indexing mechanisms have thus far failed to consider the available policyholder’s risk experience at its updating time. This article employs the well-known bonus–malus system to introduce a bonus–malus indexing mechanism that takes into account the policyholder’s risk experience in its updating mechanism. More precisely, it uses the bonus–malus system’s idea to update the premium of each policyholder based upon her or his risk experience as well as updated inflation. The theoretical foundation of this approach has been developed and its practical implementation is shown through a simulation study.
经济冲击、高通胀、寿命延长和新兴技术使保险公司面临长期医疗保险的挑战。为了克服这一问题,采用了一种索引机制来根据手头的新信息更新预测保费。迄今为止,这种索引机制在更新时未能考虑到现有保单持有人的风险经验。本文借鉴著名的奖惩制度,引入了一种在更新机制中考虑投保人风险经历的奖惩索引机制。更准确地说,它利用奖惩制度的思想,根据每位投保人的风险经历和最新的通货膨胀来更新其保费。建立了该方法的理论基础,并通过仿真研究说明了该方法的实际实现。
{"title":"Updating Bonus–Malus Indexing Mechanism to Adjust Long-Term Health Insurance Premiums","authors":"Atefeh Kanani Dizaji, Amir T. Payandeh Najafabadi","doi":"10.1080/10920277.2022.2110123","DOIUrl":"https://doi.org/10.1080/10920277.2022.2110123","url":null,"abstract":"Economic shocks, high inflation, longevity, and new emerging technologies make the long-term health care insurance challenging for insurers. To overcome this problem, an indexing mechanism has been employed to update predicted premiums based on the new information in hand. Such indexing mechanisms have thus far failed to consider the available policyholder’s risk experience at its updating time. This article employs the well-known bonus–malus system to introduce a bonus–malus indexing mechanism that takes into account the policyholder’s risk experience in its updating mechanism. More precisely, it uses the bonus–malus system’s idea to update the premium of each policyholder based upon her or his risk experience as well as updated inflation. The theoretical foundation of this approach has been developed and its practical implementation is shown through a simulation study.","PeriodicalId":46812,"journal":{"name":"North American Actuarial Journal","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45803558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Model Stacking Approach for Forecasting Mortality 预测死亡率的模型叠加法
IF 1.4 Q2 Mathematics Pub Date : 2022-09-22 DOI: 10.1080/10920277.2022.2108453
Jackie Li
This article adopts a machine learning method called stacked generalization for forecasting mortality. The main idea is to combine the forecasts from different projection models or algorithms in a certain way in order to increase the prediction accuracy. In particular, the article considers not just the traditionally used mortality projection models, such as the Lee–Carter and CBD models and their extensions, but also some learning algorithms called feedforward and recurrent neural networks that are starting to gain attention in the actuarial literature. For blending the different forecasts, the article examines a number of choices, including simple averaging, weighted averaging, linear regression, and neural network. Using U.S. mortality data, it is found that the proposed stacking approach often outperforms the cases where a projection model or algorithm is applied individually, and that neural networks tend to generate better results than many of the traditional models.
本文采用一种称为堆叠泛化的机器学习方法来预测死亡率。其主要思想是将不同预测模型或算法的预测以某种方式组合起来,以提高预测精度。特别是,这篇文章不仅考虑了传统上使用的死亡率预测模型,如Lee-Carter和CBD模型及其扩展,还考虑了一些被称为前馈和循环神经网络的学习算法,这些算法开始在精算文献中受到关注。为了混合不同的预测,本文研究了许多选择,包括简单平均、加权平均、线性回归和神经网络。使用美国死亡率数据,我们发现,所提出的叠加方法通常优于单独应用投影模型或算法的情况,并且神经网络往往比许多传统模型产生更好的结果。
{"title":"A Model Stacking Approach for Forecasting Mortality","authors":"Jackie Li","doi":"10.1080/10920277.2022.2108453","DOIUrl":"https://doi.org/10.1080/10920277.2022.2108453","url":null,"abstract":"This article adopts a machine learning method called stacked generalization for forecasting mortality. The main idea is to combine the forecasts from different projection models or algorithms in a certain way in order to increase the prediction accuracy. In particular, the article considers not just the traditionally used mortality projection models, such as the Lee–Carter and CBD models and their extensions, but also some learning algorithms called feedforward and recurrent neural networks that are starting to gain attention in the actuarial literature. For blending the different forecasts, the article examines a number of choices, including simple averaging, weighted averaging, linear regression, and neural network. Using U.S. mortality data, it is found that the proposed stacking approach often outperforms the cases where a projection model or algorithm is applied individually, and that neural networks tend to generate better results than many of the traditional models.","PeriodicalId":46812,"journal":{"name":"North American Actuarial Journal","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48320781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Does Public Health Insurance Expansion Influence Medical Liability Insurance Prices? The Case of the ACA’s Optional Medicaid Expansion 公共健康保险扩张是否影响医疗责任保险价格?ACA的可选医疗补助扩张案例
IF 1.4 Q2 Mathematics Pub Date : 2022-09-21 DOI: 10.1080/10920277.2022.2106576
Jingshu Luo, Martin Grace
Medical liability insurance covers physicians’ liability, and its price could affect physicians’ practice. In this article, we use a unique county-level dataset to study how medical liability insurance prices of three specialties, internal medicine, general surgery, and obstetrics–gynecology (OB-GYN), changed after the Affordable Care Act (ACA) elective Medicaid expansion provision. The Medicaid expansion has largely increased the demand for health care services and potentially exposed physicians to higher medical liability risks. With higher expected losses, insurers could react by increasing medical malpractice insurance prices. We first study all counties in states that elected to expand Medicaid and compare them to counties in nonexpansion states. Then we narrow our analysis to consider differential effects in bordering counties with different Medicaid expansion statuses over the period 2010–2018. In both samples, we find significantly higher medical liability insurance prices 2 years after the expansion (on average) in expansion states in comparison to nonexpansion states, and the difference is larger for physicians practicing internal medicine (6–8% at 2 years after expansion) and general surgery (12–16% at 2 years after expansion) but less so for OB-GYN. Our OB-GYN results are likely because significant numbers of births were already covered under Medicaid and were not affected by the expansion. Our finding suggests that the expansion of health insurance increases liability costs to medical practitioners.
医疗责任保险涵盖了医生的责任,其价格可能会影响医生的执业。在本文中,我们使用一个独特的县级数据集来研究内科、普通外科和妇产科三个专业的医疗责任保险价格在《平价医疗法案》(ACA)选择性医疗补助扩大条款后是如何变化的。医疗补助计划的扩大在很大程度上增加了对医疗保健服务的需求,并可能使医生面临更高的医疗责任风险。随着预期损失的增加,保险公司可以通过提高医疗事故保险价格来应对。我们首先研究了选择扩大医疗补助的州的所有县,并将其与非扩大州的县进行了比较。然后,我们缩小分析范围,考虑2010-2018年期间不同医疗补助扩展状态的边境县的差异影响。在这两个样本中,我们发现,与非扩张州相比,扩张州扩张后2年的医疗责任保险价格(平均值)明显更高,内科医生(扩张后2年间为6-8%)和普通外科医生(扩张2年间为12-16%)的差异更大,而OB-GYN的差异更小。我们的OB-GYN结果可能是因为大量的出生已经纳入医疗补助计划,并且没有受到扩大的影响。我们的研究结果表明,医疗保险的扩大增加了医生的责任成本。
{"title":"Does Public Health Insurance Expansion Influence Medical Liability Insurance Prices? The Case of the ACA’s Optional Medicaid Expansion","authors":"Jingshu Luo, Martin Grace","doi":"10.1080/10920277.2022.2106576","DOIUrl":"https://doi.org/10.1080/10920277.2022.2106576","url":null,"abstract":"Medical liability insurance covers physicians’ liability, and its price could affect physicians’ practice. In this article, we use a unique county-level dataset to study how medical liability insurance prices of three specialties, internal medicine, general surgery, and obstetrics–gynecology (OB-GYN), changed after the Affordable Care Act (ACA) elective Medicaid expansion provision. The Medicaid expansion has largely increased the demand for health care services and potentially exposed physicians to higher medical liability risks. With higher expected losses, insurers could react by increasing medical malpractice insurance prices. We first study all counties in states that elected to expand Medicaid and compare them to counties in nonexpansion states. Then we narrow our analysis to consider differential effects in bordering counties with different Medicaid expansion statuses over the period 2010–2018. In both samples, we find significantly higher medical liability insurance prices 2 years after the expansion (on average) in expansion states in comparison to nonexpansion states, and the difference is larger for physicians practicing internal medicine (6–8% at 2 years after expansion) and general surgery (12–16% at 2 years after expansion) but less so for OB-GYN. Our OB-GYN results are likely because significant numbers of births were already covered under Medicaid and were not affected by the expansion. Our finding suggests that the expansion of health insurance increases liability costs to medical practitioners.","PeriodicalId":46812,"journal":{"name":"North American Actuarial Journal","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46835267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extrapolating Long-Run Yield Curves: An Innovative and Consistent Approach 外推长期收益率曲线:一种创新且一致的方法
IF 1.4 Q2 Mathematics Pub Date : 2022-09-13 DOI: 10.1080/10920277.2022.2102040
T. Signorelli, C. Campani, C. Neves
This article proposes a method to build term structures that are consistent with market data and that provide interest rates for which the volatility, on average, decreases as maturities increase. The method is designed for continuous repetitive use and is consistent with work by Diebold and Li, providing reasonable extrapolated rates, with an appropriate level of volatility over time. The Svensson model is adopted, and its parameters are estimated by the combination of a genetic algorithm and a quasi-Newton nonlinear optimization method. We innovate with a new objective function that focuses on both parts of the estimated curves (interpolated and extrapolated). For this purpose, a stability component is added. The new objective function aims to solve the problem of estimating long-term rates not observable in the market, for which the estimates are usually artificially stable or excessively volatile. The results show that the estimation method is able to bring the volatility of extrapolated rates to levels consistent with those observed for the longest liquid rate. Estimation errors are small enough and there is no statistical evidence that they are biased. The method is useful for the insurance market, since it provides interest rates that do not lead to artificially stable or excessively volatile technical provisions.
本文提出了一种建立与市场数据一致的期限结构的方法,该方法提供的利率的波动性平均随着期限的增加而降低。该方法是为连续重复使用而设计的,与Diebold和Li的工作一致,提供了合理的外推速率,并具有随时间变化的适当波动水平。采用Svensson模型,结合遗传算法和拟牛顿非线性优化方法对其参数进行估计。我们创新了一个新的目标函数,它关注估计曲线的两个部分(插值和外推)。为此,添加了稳定性组件。新的目标函数旨在解决市场上无法观察到的长期利率估计问题,因为长期利率的估计通常是人为稳定或过度波动的。结果表明,该估计方法能够将外推速率的波动率提高到与最长流动速率下观察到的波动率一致的水平。估计误差很小,没有统计证据表明它们有偏差。这种方法对保险市场很有用,因为它提供的利率不会导致人为稳定或过度波动的技术条款。
{"title":"Extrapolating Long-Run Yield Curves: An Innovative and Consistent Approach","authors":"T. Signorelli, C. Campani, C. Neves","doi":"10.1080/10920277.2022.2102040","DOIUrl":"https://doi.org/10.1080/10920277.2022.2102040","url":null,"abstract":"This article proposes a method to build term structures that are consistent with market data and that provide interest rates for which the volatility, on average, decreases as maturities increase. The method is designed for continuous repetitive use and is consistent with work by Diebold and Li, providing reasonable extrapolated rates, with an appropriate level of volatility over time. The Svensson model is adopted, and its parameters are estimated by the combination of a genetic algorithm and a quasi-Newton nonlinear optimization method. We innovate with a new objective function that focuses on both parts of the estimated curves (interpolated and extrapolated). For this purpose, a stability component is added. The new objective function aims to solve the problem of estimating long-term rates not observable in the market, for which the estimates are usually artificially stable or excessively volatile. The results show that the estimation method is able to bring the volatility of extrapolated rates to levels consistent with those observed for the longest liquid rate. Estimation errors are small enough and there is no statistical evidence that they are biased. The method is useful for the insurance market, since it provides interest rates that do not lead to artificially stable or excessively volatile technical provisions.","PeriodicalId":46812,"journal":{"name":"North American Actuarial Journal","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48136148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Payer-Addressable Burden of Crohn’s Disease in Members Treated with Biologics in the United States: Actuarial Analysis Findings from RAINBOW 美国接受生物制品治疗的会员克罗恩病的付款人可负担:RAINBOW的精算分析结果
IF 1.4 Q2 Mathematics Pub Date : 2022-09-09 DOI: 10.1080/10920277.2022.2102041
Sabyasachi Ghosh, Ian Smith, James Davidson, T. Fan, N. Candela, Cynthia Tsang, Troy Koch, J. Fehr
Payer-addressable burden (PAB) reflects how real-world disease-associated costs impact the per member per month (PMPM) budget of a health plan, and can help to delineate drivers of PMPM costs and inform cost-management strategies for diseases with a high cost burden, such as Crohn’s disease (CD). We aimed to evaluate the U.S. PAB of CD managed with biologics. Weighted mean costs per member with CD in the commercial health plan population between 2017 and 2019 were evaluated from a health plan actuarial perspective. In addition to the overall population of members with CD treated with adalimumab, infliximab, vedolizumab, or ustekinumab, the subpopulations of members who were naive to biologic therapies at treatment initiation and/or treatment-adherent members were also analyzed. Members treated with vedolizumab contributed the lowest PMPM costs. A similar number of members were treated with vedolizumab and ustekinumab, yet PMPM costs associated with ustekinumab were more than double those of vedolizumab. Biologic naivety and treatment adherence drove lower CD-related PMPM costs. The analyses we present here highlight that treatments and patient subgroups with lower PMPM costs are important focus areas for payers in terms of identifying strategies to manage the budget for CD in a U.S. plan population. Video Abstract Read the transcript Watch the video on Vimeo © 2022 The Author(s). Published with license by Taylor & Francis Group, LLC
{"title":"Payer-Addressable Burden of Crohn’s Disease in Members Treated with Biologics in the United States: Actuarial Analysis Findings from RAINBOW","authors":"Sabyasachi Ghosh, Ian Smith, James Davidson, T. Fan, N. Candela, Cynthia Tsang, Troy Koch, J. Fehr","doi":"10.1080/10920277.2022.2102041","DOIUrl":"https://doi.org/10.1080/10920277.2022.2102041","url":null,"abstract":"Payer-addressable burden (PAB) reflects how real-world disease-associated costs impact the per member per month (PMPM) budget of a health plan, and can help to delineate drivers of PMPM costs and inform cost-management strategies for diseases with a high cost burden, such as Crohn’s disease (CD). We aimed to evaluate the U.S. PAB of CD managed with biologics. Weighted mean costs per member with CD in the commercial health plan population between 2017 and 2019 were evaluated from a health plan actuarial perspective. In addition to the overall population of members with CD treated with adalimumab, infliximab, vedolizumab, or ustekinumab, the subpopulations of members who were naive to biologic therapies at treatment initiation and/or treatment-adherent members were also analyzed. Members treated with vedolizumab contributed the lowest PMPM costs. A similar number of members were treated with vedolizumab and ustekinumab, yet PMPM costs associated with ustekinumab were more than double those of vedolizumab. Biologic naivety and treatment adherence drove lower CD-related PMPM costs. The analyses we present here highlight that treatments and patient subgroups with lower PMPM costs are important focus areas for payers in terms of identifying strategies to manage the budget for CD in a U.S. plan population. Video Abstract Read the transcript Watch the video on Vimeo © 2022 The Author(s). Published with license by Taylor & Francis Group, LLC","PeriodicalId":46812,"journal":{"name":"North American Actuarial Journal","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41697164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ensemble Economic Scenario Generators: Unity Makes Strength 集合经济场景生成器:团结造就力量
IF 1.4 Q2 Mathematics Pub Date : 2022-08-26 DOI: 10.1080/10920277.2022.2100425
Jean‐François Bégin
Over the last 40 years, various frameworks have been proposed to model economic and financial variables relevant to actuaries. These models are helpful, but searching for a unique model that gives optimal forecasting performance can be frustrating and ultimately futile. This study therefore investigates whether we can create better, more reliable economic scenario generators by combining them. We first consider eight prominent economic scenario generators and apply Bayesian estimation techniques to them, thus allowing us to account for parameter uncertainty. We then rely on predictive distribution stacking to obtain optimal model weights that prescribe how the models should be averaged. The weights are constructed in a leave-future-out fashion to build truly out-of-sample forecasts. An extensive empirical study based on three economies—the United States, Canada, and the United Kingdom—and data from 1992 to 2021 is performed. We find that the optimal weights change over time and differ from one economy to another. The out-of-sample behavior of the ensemble model compares favorably to the other eight models: the ensemble model’s performance is substantially better than that of the worse models and comparable to that of the better models. Creating ensembles is thus beneficial from an out-of-sample perspective because it allows for robust and reasonable forecasts.
在过去的40年里,人们提出了各种框架来模拟与精算师相关的经济和金融变量。这些模型是有帮助的,但寻找一个能提供最佳预测性能的独特模型可能会令人沮丧,最终也是徒劳的。因此,这项研究调查了我们是否可以通过组合它们来创建更好、更可靠的经济情景生成器。我们首先考虑八个突出的经济情景生成器,并将贝叶斯估计技术应用于它们,从而使我们能够考虑参数的不确定性。然后,我们依靠预测分布叠加来获得最优模型权重,该权重规定了如何对模型进行平均。权重是以忽略未来的方式构建的,以构建真正的样本外预测。基于美国、加拿大和英国这三个经济体以及1992年至2021年的数据进行了广泛的实证研究。我们发现,最优权重随着时间的推移而变化,并且随着经济体的不同而不同。集成模型的样本外行为与其他八个模型相比是有利的:集成模型的性能明显好于较差模型的性能,也与较好模型的性能相当。因此,从样本外的角度来看,创建集合是有益的,因为它可以进行稳健合理的预测。
{"title":"Ensemble Economic Scenario Generators: Unity Makes Strength","authors":"Jean‐François Bégin","doi":"10.1080/10920277.2022.2100425","DOIUrl":"https://doi.org/10.1080/10920277.2022.2100425","url":null,"abstract":"Over the last 40 years, various frameworks have been proposed to model economic and financial variables relevant to actuaries. These models are helpful, but searching for a unique model that gives optimal forecasting performance can be frustrating and ultimately futile. This study therefore investigates whether we can create better, more reliable economic scenario generators by combining them. We first consider eight prominent economic scenario generators and apply Bayesian estimation techniques to them, thus allowing us to account for parameter uncertainty. We then rely on predictive distribution stacking to obtain optimal model weights that prescribe how the models should be averaged. The weights are constructed in a leave-future-out fashion to build truly out-of-sample forecasts. An extensive empirical study based on three economies—the United States, Canada, and the United Kingdom—and data from 1992 to 2021 is performed. We find that the optimal weights change over time and differ from one economy to another. The out-of-sample behavior of the ensemble model compares favorably to the other eight models: the ensemble model’s performance is substantially better than that of the worse models and comparable to that of the better models. Creating ensembles is thus beneficial from an out-of-sample perspective because it allows for robust and reasonable forecasts.","PeriodicalId":46812,"journal":{"name":"North American Actuarial Journal","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49155718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Medicare Advantage, Medical Loss Ratio, Service Efficiency, and Efficiently Positive Health Outcomes 医疗保险优势、医疗损失率、服务效率和有效的积极健康结果
IF 1.4 Q2 Mathematics Pub Date : 2022-08-18 DOI: 10.1080/10920277.2022.2099425
P. Brockett, L. Golden, Pengyu Wei, Charles C. Yang
Within the context of Medicare’s enunciated triple aims of better health, better care, and lower costs, we examine the effectiveness of medical loss ratio (MLR) on health outcomes of Medicare Advantage insurers. We simultaneously examine the effect of an efficiency measure for the insurer performance: medical service utilization efficiency (an assessment of how efficiently an insurer provides medical services). This research is based upon collection and integration of several data sources: health outcome data, financial data, and medical service utilization data. The assessment procedure employs a two-stage analytical approach: efficiency analysis followed by regressions. We quantify insurer efficiency using data envelopment analysis (DEA), which determines the relative efficiency of an insurer when the inputs and outputs can both be multivariate. We then run regressions with the dependent variables being functional health outcomes (“improving or maintaining mental health,” “improving or maintaining physical health,” and “improving or maintaining physical and mental health”) and health improvement efficiency (how cost-efficient the insurer is in improving functional health outcomes). Independent variables include MLR, medical service utilization efficiency, and a rich set of control variables. We find that neither MLR nor medical service utilization efficiency provides a good regulatory and evaluation indicator for stimulating/producing functional health outcomes. On the other hand, they do both significantly relate to health improvement efficiency, and hence are both reasonable regulatory and monitoring indicators for efficiently producing positive health outcomes. Our results suggest that to enhance health improvement efficiency, medical service utilization efficiency should be incorporated as a cost-efficient regulatory and monitoring indicator when evaluating Medical Advantage insurers.
在医疗保险阐明的更好的健康、更好的护理和更低的成本三重目标的背景下,我们研究了医疗损失率(MLR)对医疗保险优势保险公司健康结果的有效性。我们同时考察了效率指标对保险公司绩效的影响:医疗服务利用效率(评估保险公司提供医疗服务的效率)。这项研究基于对几个数据来源的收集和整合:健康结果数据、财务数据和医疗服务利用数据。评估程序采用两阶段分析方法:效率分析,然后进行回归。我们使用数据包络分析(DEA)来量化保险公司的效率,当输入和输出都可以是多元的时,数据包络分析确定了保险公司的相对效率。然后,我们进行回归,因变量是功能健康结果(“改善或保持心理健康”、“改善或维持身体健康”和“改善或维护身心健康”)和健康改善效率(保险公司在改善功能健康结果方面的成本效益如何)。自变量包括MLR、医疗服务利用效率和一组丰富的控制变量。我们发现,MLR和医疗服务利用效率都不能为刺激/产生功能性健康结果提供良好的监管和评估指标。另一方面,它们确实与健康改善效率密切相关,因此都是有效产生积极健康结果的合理监管和监测指标。我们的研究结果表明,为了提高健康改善效率,在评估medical Advantage保险公司时,应将医疗服务利用效率纳入成本效益监管和监测指标。
{"title":"Medicare Advantage, Medical Loss Ratio, Service Efficiency, and Efficiently Positive Health Outcomes","authors":"P. Brockett, L. Golden, Pengyu Wei, Charles C. Yang","doi":"10.1080/10920277.2022.2099425","DOIUrl":"https://doi.org/10.1080/10920277.2022.2099425","url":null,"abstract":"Within the context of Medicare’s enunciated triple aims of better health, better care, and lower costs, we examine the effectiveness of medical loss ratio (MLR) on health outcomes of Medicare Advantage insurers. We simultaneously examine the effect of an efficiency measure for the insurer performance: medical service utilization efficiency (an assessment of how efficiently an insurer provides medical services). This research is based upon collection and integration of several data sources: health outcome data, financial data, and medical service utilization data. The assessment procedure employs a two-stage analytical approach: efficiency analysis followed by regressions. We quantify insurer efficiency using data envelopment analysis (DEA), which determines the relative efficiency of an insurer when the inputs and outputs can both be multivariate. We then run regressions with the dependent variables being functional health outcomes (“improving or maintaining mental health,” “improving or maintaining physical health,” and “improving or maintaining physical and mental health”) and health improvement efficiency (how cost-efficient the insurer is in improving functional health outcomes). Independent variables include MLR, medical service utilization efficiency, and a rich set of control variables. We find that neither MLR nor medical service utilization efficiency provides a good regulatory and evaluation indicator for stimulating/producing functional health outcomes. On the other hand, they do both significantly relate to health improvement efficiency, and hence are both reasonable regulatory and monitoring indicators for efficiently producing positive health outcomes. Our results suggest that to enhance health improvement efficiency, medical service utilization efficiency should be incorporated as a cost-efficient regulatory and monitoring indicator when evaluating Medical Advantage insurers.","PeriodicalId":46812,"journal":{"name":"North American Actuarial Journal","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43769988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Pay-As-You-Drive Insurance: Modeling and Implications 现收现付保险:模型及其启示
IF 1.4 Q2 Mathematics Pub Date : 2022-08-11 DOI: 10.1080/10920277.2022.2077220
Jiang Cheng, Frank Y. Feng, Xudong Zeng
Pay-as-you-drive (PAYD) insurance is an exciting innovation. We develop a dynamic model to study PAYD insurance from the policyholder’s utility maximization perspective. We demonstrate that PAYD insurance does benefit the policyholder by reducing premium paid and increasing the total utility derived from auto usage and wealth. PAYD insurance may also improve overall social welfare by incentivizing customers to drive less. We illustrate that PAYD insurance is more efficient than fuel tax in reducing mileage due to the concavity relation of premium and driving distance. Finally, we derive a cut-off value of mileage below which policyholders who drive with traditional insurance should switch to a PAYD policy. Our research proposes a reliable theoretical framework, and confirms that PAYD insurance benefits both individual customers and society as a whole.
现收现付保险是一项令人兴奋的创新。我们从投保人效用最大化的角度建立了一个动态模型来研究PAYD保险。我们证明,PAYD保险确实通过减少支付的保费和增加汽车使用和财富带来的总效用而使投保人受益。付费保险还可以通过激励客户少开车来改善整体社会福利。我们说明,由于保费和行驶距离的凹度关系,PAYD保险在减少里程方面比燃油税更有效。最后,我们得出了里程的截止值,低于该值,使用传统保险的投保人应改用PAYD保单。我们的研究提出了一个可靠的理论框架,并证实了PAYD保险既有利于个人客户,也有利于整个社会。
{"title":"Pay-As-You-Drive Insurance: Modeling and Implications","authors":"Jiang Cheng, Frank Y. Feng, Xudong Zeng","doi":"10.1080/10920277.2022.2077220","DOIUrl":"https://doi.org/10.1080/10920277.2022.2077220","url":null,"abstract":"Pay-as-you-drive (PAYD) insurance is an exciting innovation. We develop a dynamic model to study PAYD insurance from the policyholder’s utility maximization perspective. We demonstrate that PAYD insurance does benefit the policyholder by reducing premium paid and increasing the total utility derived from auto usage and wealth. PAYD insurance may also improve overall social welfare by incentivizing customers to drive less. We illustrate that PAYD insurance is more efficient than fuel tax in reducing mileage due to the concavity relation of premium and driving distance. Finally, we derive a cut-off value of mileage below which policyholders who drive with traditional insurance should switch to a PAYD policy. Our research proposes a reliable theoretical framework, and confirms that PAYD insurance benefits both individual customers and society as a whole.","PeriodicalId":46812,"journal":{"name":"North American Actuarial Journal","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46488491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Products and Strategies for the Decumulation of Wealth during Retirement: Insights from the Literature 退休期间财富积累的产品与策略:来自文献的见解
IF 1.4 Q2 Mathematics Pub Date : 2022-08-05 DOI: 10.1080/10920277.2022.2078374
Maximilian Bär, Nadine Gatzert
The question how individuals should (optimally) annuitize their wealth remains of high relevance in light of longevity risk and volatile capital markets. In this article, we first present traditional and innovative products and strategies for the decumulation of wealth during retirement, based on a review of 72 selected academic articles in peer-reviewed journals. We further identify relevant factors that generally influence the conception of these products from the retirees’ perspectives, and derive implications for product developers, before concluding with avenues of future research. Our results indicate that innovative suggestions often comprise tontine-like structures, exploit actuarial and accounting smoothing in various ways, defer annuitization to higher ages, or combine it with long-term care options, for instance. Key areas of future research in this field include the consideration of both insurer and retiree perspectives in the analysis of products, using behavioral considerations when evaluating the retirees’ perspective, and taking into account the impact of costs or expenses. While recent articles increasingly consider these aspects, manifold opportunities for future research remain.
考虑到长寿风险和动荡的资本市场,个人应该如何(最佳地)将自己的财富年金化的问题仍然具有高度相关性。在这篇文章中,我们首先介绍了传统的和创新的产品和策略,在退休期间积累财富,基于对同行评议期刊上的72篇精选学术文章的回顾。我们进一步从退休人员的角度确定了通常影响这些产品概念的相关因素,并得出了对产品开发人员的启示,最后得出了未来研究的途径。我们的研究结果表明,创新的建议通常包括类似tontini的结构,以各种方式利用精算和会计平滑,将年金化推迟到更高的年龄,或者将其与长期护理选择结合起来,例如。该领域未来研究的关键领域包括在产品分析中考虑保险公司和退休人员的观点,在评估退休人员的观点时使用行为考虑因素,并考虑成本或费用的影响。虽然最近的文章越来越多地考虑这些方面,但未来的研究仍有许多机会。
{"title":"Products and Strategies for the Decumulation of Wealth during Retirement: Insights from the Literature","authors":"Maximilian Bär, Nadine Gatzert","doi":"10.1080/10920277.2022.2078374","DOIUrl":"https://doi.org/10.1080/10920277.2022.2078374","url":null,"abstract":"The question how individuals should (optimally) annuitize their wealth remains of high relevance in light of longevity risk and volatile capital markets. In this article, we first present traditional and innovative products and strategies for the decumulation of wealth during retirement, based on a review of 72 selected academic articles in peer-reviewed journals. We further identify relevant factors that generally influence the conception of these products from the retirees’ perspectives, and derive implications for product developers, before concluding with avenues of future research. Our results indicate that innovative suggestions often comprise tontine-like structures, exploit actuarial and accounting smoothing in various ways, defer annuitization to higher ages, or combine it with long-term care options, for instance. Key areas of future research in this field include the consideration of both insurer and retiree perspectives in the analysis of products, using behavioral considerations when evaluating the retirees’ perspective, and taking into account the impact of costs or expenses. While recent articles increasingly consider these aspects, manifold opportunities for future research remain.","PeriodicalId":46812,"journal":{"name":"North American Actuarial Journal","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44292146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
期刊
North American Actuarial Journal
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1