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 1992 discussion is about the resource-based relative value scale [RBRVS]- where it is and where it's going, and its impact on trends, Medicare supplemental coverage, indemnity plans, and health cost projections. From the Record of the Society of Actuaries Vol. 18, No. 1A.

Description: The panel will discuss the growing public sense of urgency to deal with a worsening crisis in the ability of millions of Americans to obtain quality health care that is also affordable. This session focuses on Medicaid issues, the Kennedy bill, and the impact on small businesses to require employers to purchase health insurance for their employees and dependents. From Record of the Society of Actuaries 1988 Vol. 14, No. 1.

Description: Panelists at this session of the SOA 1989 Chicago Spring Meeting discuss Health Maintenance Organizaions [HMOs] including their hisotry, the marketplace, physician structures and relationships with HMOs, cost control issues and the future of HMOs.

Description: From a session at the Health/Pension Spring Meeting held in New Orleans, Louisiana June 15-17, 2005 Panelists discussed some of the research behind understanding decision-making and how this type of research can be used to enhance the modeling of consumer choice. Discussion of the field of behavioral economics and its potential application in improving assumptions for modeling health care purchasing.

Description: This session discussion is about health insurance tax reserves: standard morbidity tables, impact of statutory requirements, effective issue date for choice of interest rate, deductibility of additional reserves, and the chance for one-year preliminary term on certain coverages. From Record of Society of Actuaries Vol. 18, No. 1B.

Description: Discusses components of health-care inflation and their impact on health-insurance products. These components include: utilization trends, consumer price index [CPI] changes, regional variation. From the 1988 Record of Society of Actuaries, Vol. 14, No. 1.

Description: This session from the 1983 SOA Vancouver Meeting discusses national health policy issues in the U.S. and the impact of these issues on the private health insurance business. Issues include health insurance for the unemployed, non-paying patients and cost shifting, competition versus regulation and DRG prospective pricing for Medicare.

Description: This abstract describes a presentation that reviews the latest AHCA update and its impact on market stability from short-term and long-term points of view.

Description: This panel discussion session focuses on national health insurance in Great Britain and Canada. Discussion items include plan features and costs, impact on providers from health care provided outside the national plan, inclusion of private health insurance and prepayment systems. Vol. 5 No. 4