Description: This presentation is a panel discussion, session 54PD, from the 2004 Spring Meeting of the Society of Actuaries, held June 14-15 in San Antonio, TX. This session covers the impact of segmentation and underwriting on expected mortality and morbidity. Panelists discuss the importance of data mining and customer selection on ultimate experience, setting up direct marketing applications with the right type of questions to maximize responses but limit risk, the use of prescription drugs and other databases, and industry practices for obtaining customer information. Discussion from participants is included. From the Record of Society of Actuaries, Volume 30, No. 2.

Description: Panelists discuss consumer-driven health plans [CDHPs]. Topics include pricing, large employer perspectives, and the overall impact on the marketplace. From Record of Society of Actuaries, Vol. 30, No. 1, Session 95

Description: This presentation is a Health Section meeting from the 1991 Annual Meeting of the Society of Actuaries, held October 20-23 in Toronto. The session leader, the incoming chair of the section, covers administrative matters, and then the next speaker addresses a newly completed research project, sponsored by the Society and Health Section, on the variation by duration in small group medical insurance claim costs. The speakers then discuss current developments in small group reform, and the various parties involved, including the National Association of Insurance Commissioners [NAIC], and the Health Insurance Association of America [HIAA], and the work that has been done, including modeling to address the impact of a small group reform mechanism. The speakers discuss how the various parties' objectives can differ. Discussion from participants is included. From the Record of Society of Actuaries, Volume 17, No. 4B.

Description: This is a panel discussion session on the purpose, rationale and conclusions of the Committee for Accident and Health Valuation Principles. Discussion also covers the comments received and any modifications to their original draft report.

Description: This session is from the 1976 Society of Actuaries Annual Meeting in Toronto in October. The presenters cover the following Group Insurance topics: Survivor Income Group Life Insurance, Long Term Disability Insurance, Dental Insurance, Health Insurance, and new products and development.

Description: Panelists discuss the various types of risks in health insurance and health-care delivery, and various types of risk-absorption mechanisms for sharing these risks among providers, insurers, employers, and employees. In addition, they address the management of the risk from a corporate perspective, which will include bottom-line earnings and marketing goals and objectives. From the 1987 Record of Society of Actuaries, Vol. 13, No. 4B.

Description: Experts discuss new strategies related to provider contracting and network management. Topics include various reimbursement approaches and risk-sharing arrangements, unique risk arrangements for certain provider specialties, unique risk managements for specific diseases, and the role of care management/care coordinators. From the 2002 Record of Society of Actuaries, Volume 28, No. 2. Session 59PD of the San Francisco Spring Meeting.

Description: This session will teach the ABCs of HMOs and PHOs. Topics include provider networks, contracting, utilization controls, integrated health care, From Record of Society of Actuaries Vol. 20, No. 3A.

Description: Presented at June 1996 Spring Meeting. This discussion looks at redirecting the traditional role of the actuary into new areas such as working with doctors to deal with medical management issues, dealing and negotiating with providers and how to help the company develop a provider payment strategy. Employers negotiating directly with providers is also discussed.

Description: This session from the 1994 Valuation Actuary Symposium focuses on long-term projections of health insurance, the uses of the projections, the type of model to use and model considerations for the projections.