ReFlections
ReFlections is RGA’s medical underwriting newsletter, written by RGA experts. It presents underwriters and medical directors with timely, in-depth information to assist with underwriting issues. With ReFlections, RGA hopes to identify trends in mortality and morbidity that could impact your interpretation of medical information.

  
 PDF files require Adobe Acrobat Reader.

 

2013 Editions

Summer 2013 (PDF) 

 Spring 2013 (PDF)

ReFlections Archive

 

  • Functional Impairments in South Africa
  • The risk of resurgence of infectious diseases such as tuberculosis
  • An actuarial viewpoint on predictive modeling
  • Electronic Health Records – the Direct Project

Fall 2012 (PDF)

  • Impact of increasingly complex predictive models
  • Mortality impact from the use of opioids
  • Functional MRIs and how they can be used to evaluate various medical conditions
  • Developments in Electronic Medical Records

  • Bariatric surgery and the issues related to post-surgical mortality
  • Introductory articles on Electronic Medical Records (EMR) and Predictive Modeling

Fall 2011 (PDF)

  • Advances in cancer
  • Insights on heart failure

 Spring 2011 (PDF)

  • Edema: What is it, and why is it important?
  • Age and amount requirements - prevalence and mortality
Fall 2010 (PDF)
  • Melanoma of the skin and changes in the staging protocol for skin cancer
  • Benefits and challenges of the PSA screening test for prostate cancer
  • Weighing-in on obesity (Part 2)
  • Prostate cancer statistics, risk factors and the histological grading of prostate cancer differentiation
  • Viral Hepatitis B and C — natural history, immune reactions and common progression to end-stage liver disease
  • MRSA and its impact on underwriting and mortality 
  • Sleep and sleep apnea
  • Pharmacy check utilization  
Fall 2008 (PDF)
  • Underwriting coronary artery
  •  Revascularization procedures 
  • Old-age underwriting 
  • The value of screening for cognitive function in the elderly 
 

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Available Translations

Summer 2012: Japanese (PDF)

Fall 2011: Japanese (PDF)

Fall 2011: Spanish (PDF)

Spring 2011: French (PDF)

Spring 2011: Spanish (PDF)

Fall 2010: French (PDF)

Fall 2010: Spanish (PDF)

Spring 2009: Spanish (PDF)

Spring 2009: Korean (PDF)

Winter 2009: French (PDF)

Contact



J. Carl Holowaty M.D., D.B.I.M. 
Senior Vice President,
Chief Medical Director
T 636.736.7395
cholowaty@rgare.com