Description: This paper contains three discussions. The first is about recent developments in health insurance programs in the United States and Canada. The second discussion is about the Society and how it can provide services to its members and the public. The third discussion is on life insurance company management. From Transactions of Society of Actuaries 1966, Vol. 18 Pt. 2, No. 50 AB

Description: This session from the 1984 SOA Salt Lake City Meeting discusses health insurance including the topics of the Washington loss ratio report, problems which lead to regulatory difficulties later on, claims monitoring, setting claim reserves and pricing individual health policies.

Description: This discussion addresses the following questions about health insurance maternity benefits: 1. What has been the claim, lapse, and expense experience on hospital-medical policies with maternity benefits issued to young married couples? 2. To what extent have hospital-medical policies been introduced with reduced maternity benefits during the early policy years or with no maternity benefits? 3. What other measures are being used to provide maternity benefits on a self-sustaining basis? 4. Are these measures effective? From Transactions of Society of Actuaries 1963, Vol. 15 Pt. 2

Description: Panelists at this session of the SOA 1997 Palm Desert Spring Meeting present various physician incentive programs, including withholds, bonuses, capitation, and other risk-sharing concepts. Implications and effectiveness of each type of program and appropriate situations for applying each program are discussed.

Description: This presentation from Session 4PD of the SOA 1996 Orlando Annual Meeting provides an update on the issues addressed and findings reached by the American Academy of Actuaries [AAA] work group responsible for Medical Savings Accounts [MSAs]. From the Record of the Society of Actuaries, Vol. 22, No. 3.

Description: Panelists at this session of the SOA 1998 Maui II Spring Meeting offer several approaches to creative provider reimbursement where a single capitation and fee schedule was not the best solution.

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: This presentation from Session 71PD of the SOA 1996 Colorado Springs Meeting discusses demutalization, mergers of health maintenance organizations [HMOs], and conversion from nonprofit to for-profit. It also addresses the question: How does an actuary value HMOs? From the Record of the Society of Actuaries, Vol. 22, No. 2.

Description: This session from the 2003 SOA Vancouver Meeting addresses contracting to support various employee-choice and consumer-choice health plans. The panelists also discuss current issues and activity in provider contracting specific to hospital inpatient, hospital outpatient and physician services, including tiered network approaches. From the Record of the Society of Actuaries, Volume 29, No. 2.

Description: Panelists discuss consumer-directed health plans [CDHPs], describing: [1] plan design, how they work, and pricing considerations, [2] various reserving issues, and [3] the current and future marketplace for the products. Session 43PD of the 2005 Valuation Actuary Symposium.