Description: This session discussion is about health care trends including current experience, measurement problems, effect of selection, and variation by size of group. Also discussed is the new Medicare RBRVS physician fee schedule, anticipated cost shifting, and AIDS. From Record of Society of Actuaries 1990 Vol. 16, No. 4A.

Description: Discussion on Ebola, how it spreads and whether or not it is an epidemic or pandemic.

Description: This session describes the process payers and employers can use to evaluate emerging medical device technologies, recent or pending FDA submissions for prescription drugs and experimental treatments that impact patient care, resource utilization and health care expenditures. We will walk through the process of identifying and selecting impactful treatments (Horizon Scanning) and quantifying the financial cost of new technologies before they arrive in the market. These workflows can be leveraged by actuaries, healthcare economists, clinicians and pharmacists from a payer (Commercial and Medicare) and employer perspective for self-funded plans. We will also walk through some sample models that illustrate how costs for emerging technologies and treatments can be modeled.

Description: Savings from biosimilars have accelerated significantly in the past few years. There has been a number of relatively recent biosimilar launches that can help to shape our expectations of the financial impact that could result from this year’s big event. Savings from biosimilars have accelerated significantly in the past few years. There has been a number of relatively recent biosimilar launches that can help to shape our expectations of the financial impact that could result from this year’s big event.

Description: This is a panel discussion session on health services companies - HMO, self-funded, PPO - compared to traditional health insurers the advantages and disadvantages, and long term prospects for survival associated with each type of carrier. From the Record of the SOA 1983 Vol. 9 No. 1

Description: Recap of the Health Policy Summit held in honor of Health Affairs’ 25th anniversary.

Description: This SOA report describes the components of margin for calculating capitation rates in a Medicaid context along with practical issues that MCOs may face.

Description: Physicians and hospital representatives will discuss their views on health care reform, insurance companies and managed care. From Record of Society of Actuaries Vol. 20, No. 3A.

Description: Article from The Actuary, March 1983, volume no. 17, issue no. 3, that discusses rising health care costs and the challenge it is to actuaries to study the numerous causes and to devise practical means for modifying their effects.

Description: Discover the key components of value-based care (VBC) contracts and their impact on provider credibility. Learn about benchmarks, measurement period results, and the unique challenges providers face in managing insurance risk. Gain insights into reducing costs and aligning financial incentives in the US healthcare market.