Description: Presented at April 1985 Spring Meeting. This session discussed: Products - design, policy provisions, impact from changes in the health care system, Marketing - traditional and alternative distribution systems and concept of product brokerage, and Administration - cost effectiveness, group trust mechanisms, use of technology, regulatory environment.

Description: Introduction sets out the objectives of comparing the predictive accuracy of different risk assessment methods, comparing the different methods based on other criteria, and then examining issues related to high-cost individuals and conditions. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.

Description: Chapter 8 suggests possible areas for further research such as other data groupings, high risk pooling, how diagnosis-based risk assessment might be improved, study of an expanded list of high-cost diagnoses, and comparisons to diagnoses from earlier time periods. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.

Description: Full version of Health Section News, June 1998, Issue No. 35.

Description: This session from the 1995 SOA Vancouver Meeting discusses and debates the merits and implications of community rating and guaranteed issue state requirements. State examples are discussed. From the Record of the Society of Actuaries, Vol. 21, No. 3a.

Description: Any analysis of risk assessment and risk adjustment must pay special attention to large claims. If the goal of risk adjustment is to motivate carriers to be efficient,, as opposed to motivating carriers to select the best risks,then finding a solution to the problem of compensating carriers fairly for these high-cost claimants is an absolute necessity. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1.ese

Description: Discussion of issues from The Credibility Task Force for Health Coverage. From Health Section News, June 1998, Issue No. 35.

Description: Discusses manufacturing arrangements between insurers. From the 1988 Record of Society of Actuaries, Vol. 14, No. 4B.

Description: This session from the 1993 Valuation Actuary Symposium presents major results of the group's discussions on the practice notes for large group medical and stop-loss insurance including the definition of small groups, the rating structure, adequacy of asset determination and methods for testing reserve adequacy.

Description: This session is about NAIC health rate regulations regarding loss ratios, new business/closed-block issues, experience data for reporting, and trend. Topics include alternatives to durational rating, prefunding, and rate spread, From Record of Society of Actuaries Vol. 19, No. 1A.