Description: The momentum in value-based care has produced an opportunity for actuaries to become pioneers in health care

Description: Attendees learn the major issues on both sides of the single-payer health care issue. They learn the challenges associated with a massive conversion of our health care system and explore the economic impact of such changes. From the Record of the Society of Actuaries, Volume 30, No. 1, Session 110

Description: This article begins with a comparison of the commercial risk adjuster to the exisiting Medicare model, and goes on to discuss why the existing strategies employed by health plans will not work in a risk adjusted environment. The article elaborates on the importance of diagnosis coding, controlling member mix, and care management in order to mitigate risks and gain from newly created opportunities.

Description: This session discusses defined-contribution plans as a method for employers to manage costs. Panelists discuss product designs and strategies as well as the impact on the health insurance market and third party administration business. Included is a discussion on e-health insurance. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 59

Description: The article looks at potential changes in care provider demographics that could ultimately have an impact on the cost of long term care services.

Description: Countries developing universal health care via an insurance vehicle face a variety of challenges. Deciding which benefits to include, where to proactively manage health, and how to reimburse network providers are just a sampling of the issues governments concurrently manage. Optimal choices are data-driven responses. For example, high rates of cervical cancer or increasing narcotics prescriptions are trends that can be managed through product changes, modified network payment structures, or even employer based outreach. This kind of information is typically gleaned from established health insurance claims data. However, in emerging health insurance markets, this level of granular claims data is largely missing. It is difficult to manage medical trend when the root causes are unclear. This article explores a pilot medical underwriting project in Jordan.

Description: This session discussion is about trends and proliferation of medical technology, what will be the impact on cost, what is on the horizon, strategies to contain the utilization of various procedures and technology. From Record of the Society of Actuaries Vol. 15, No. 1.

Description: This session is about the impact of health-care reform on supplemental health insurance plans such as Medicare Supplement, Hospital, Cancer, etc. The session will also explore new opportunities for supplementary markets and products. Included is a discussion of the CHAMPUS and FEHBP. From Record of Society of Actuaries Vol. 19, No. 4B.

Description: This article focuses on mandatory supplemental benefits offered by general enrollment plans and Dual Eligible Special Needs Plans (D-SNPs) Medicare Advantage plans from 2017 to 2021.

Description: This article examines the dynamic environment of the health care system in the United States and the challenges facing the health actuary.