Description: This project shows how to use agent-based models to simulate the behaviors of agents in complex health systems.

Description: This session will discuss the continuing evolution of the managed health care process. Topics include precertification, utilization review, retrospective review, case management, appropriateness review, benchmarking, recredentialing, provider contracting, and integrated medical systems. From Record of Society of Actuaries Vol. 20, No. 3A.

Description: David Dranove, the Walter McNerney Distinguished Professor of Health Industry Management at Northwestern University, Kellogg’s Graduate School of Management speaks on the topic, “From Marcus Welby to Managed Care.” From the Record of the Society of Actuaries, Volume 27, No. 1, Session 18

Description: This panel discussion presented at the 1980 SOA Spring Meeting in Minneapolis discussed competition in health care delivery from the perspective of what was happening in Minnesota, a key HMO state. From Record of Society of Actuaries, Vol. 6, No. 2.

Description: This session discussion is about current claim experience,variations by block of business & product, problems in determining claim experience and effect of selection on experience in health care. From Record of Society of Actuaries Vol. 16, No. 1.

Description: Feature article featuring expert opinions on the future of health care

Description: This research report provides an evaluation and synthesis of the methodologies and data samples used on characterizing health care fraud.

Description: Discussion and Opinion on how randomness affects measurement of provider contracting risk-sharing agreements

Description: This article outlines and summarizes research from Swiss Re about the prevalence of the Health Protection Gap throughout Asia, with a particular focus on China. Authors Robert Burr and David Zhang share key statistics on the scope of the gap, which is more than 800Bn USD in China alone, and discuss the role that technology and private-public partnership can play in reducing this gap over time. Readers will come away with an understanding of the scale of the problem within the Asia region as well as new ideas on how to solve similar problems within their own region.

Description: Letter from the Editor - Mary van der Heijde