Description: Essay reforming management in health care, structure of reimbursement, program management, health information, measurement systems, etc.

Description: Employer and payers need to actively seek change in the system of mental health care deliveryoperational, clinical, and financial change. From Financing Chronic Care Monograph, M-HB05-1.

Description: Essay where payers desiring to optimize health gains per dollar spent should avoid “across the board” cost sharing, and instead implement a “value based” design that removes barriers/provides incentives to encourage desired behaviors for patients and providers.

Description: Disease management DM is increasingly encountered in health plans and employer groups as a health care intervention targeted to individuals with chronic diseases chronics. The untested assumption is that without DM, the chronic and non-chronic trends are identical. From Financing Chronic Care Monograph, M-HB05-1.

Description: Essay reforming healthcare where participants have a vested interest in reaching the best answer.

Description: The Compliance Networking Track leadership team, which was assembled over spring and summer of 2005, includes representatives from large and small LTC insurers. Our mission is to provide a forum for the exchange of ideas and information about compliance related issues.

Description: AHIP commissioned the Menges Group to write this white paper on key pressures in the budgetary environment that stress the actuarial soundness of Medicaid rates. Though written by non-actuaries, this white paper thoroughly describes key professionalism topics that face Medicaid actuaries in their daily work.

Description: There are many ways to perform Risk Management. For an ERM system to be effective its objectives need to match up with what management wants. But most ERM systems do not have an explicit objective. Part of the essay collection "Risk Metrics for Decision Making and ORSA"

Description: From a session at a meeting of the Society of Actuaries held in San Diego, CA, June 22-23, 2000 Company representatives and state insurance department representatives addressed issues faced by companies in complying with the form-filing process. In addition, they offered suggestions and guidance in expediting policy form approvals.

Description: The objective of this report is to provide benchmarking information that will help companies address the needs of internal stakeholders in cost-effectively conducting and implementing an ORSA process. In order to obtain this benchmarking information, a cross-disciplinary survey was conducted to find out what insurance companies understand and expect from an ORSA, the effort required to complete an ORSA, and the benefits from doing so. This survey was undertaken on a global basis, with participants that included life, property and casualty (P&C), often referred to as "non-life" or "general" insurers in territories such as Europe, and health insurance companies in North America (the United States and Canada), Europe, and Asia.