ISBN(s): 978-1-62542-816-5 | 978-1-62542-112-8 | 978-1-63588-349-7
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On the SOA required reading list for SOA Group & Health Risk Mitigation Exam.
Care and Disease Management programs have grown to be a significant component of Managed Care in the U.S. and abroad. While much has been written on the clinical aspects of programs, this is the first textbook devoted to financial management and evaluation of healthcare intervention programs. It promises to become essential reading for those healthcare professionals interested in driving Return on their Investment in care management programs.
About the Author:
Ian Duncan, FSA FIA FCIA FCA CSPA MAAA
Mr. Duncan is an Adjunct Associate Professor of Actuarial Statistics in the Dept. of Statistics & Applied Probability at the University of California, Santa Barbara and President of Santa Barbara Actuaries Inc. He has over 30 years of experience in healthcare and insurance product design, management, financing, pricing and delivery, and has founded two previous companies to perform predictive modeling and outcomes analysis for healthcare. He is a frequent speaker about health outcomes, predictive modeling and risk adjustment.
Mr. Duncan holds a post-graduate degree in economics from Balliol College, Oxford and is a Fellow of the Society of Actuaries, the Institute of Actuaries (London), the Canadian Institute of Actuaries and the Conference of Consulting Actuaries.
Reviews
“This book is an impressive tour of substantive actuarial research on a wide variety of critical topics. Ian raises and answers a wide variety of questions about how to think actuarially about healthcare interventions. The book positions itself nicely in the space between economics and actuarial science, using cutting edge empirical methodologies to answer the underlying research questions that matter quite a lot for actuaries.”
Jonathan Gruber, Ph.D.
Professor of Economics, MIT
“Ian Duncan has written a timely and readable book on managing and evaluating the financial results of care management programs. The tools and techniques he discusses are of interest beyond the actuarial world, and will be of great use to researchers and policy makers who want to understand if these programs actually work and their potential role in helping to control health care costs. Anyone who reads Duncan’s book will be able to cut through the hype about care management in a more informed, objective and insightful way.”
Nancy Turnbull
Associate Dean for Educational Programs
Harvard School of Public Health
“Speaking as a non-actuary who is intimately involved in designing, conducting, and evaluating disease management programs and developing greater industry standardization of methods for such evaluations, I commend the author for his thorough review of many of the more challenging methodological issues in determining disease and care management outcomes. I suspect that practicing actuaries and non-actuaries alike will find much in this book to refine their understanding and approach to evaluating and performing care management program outcomes assessments.”
Gordon Norman, MD, MBA
Executive Vice President, Chief Science Officer
Alere® Medical, Inc.