Description: This paper presents population hospital utilization data concerning the proportion of total hospital days that is due to injury and the proportion of total hospital days that is spent in intensive care units for use in obtaining reserve factors. The paper also presents continuation data for hospitalizations. From Transactions of Society of Actuaries 1979, Vol. 31.

Description: This session at the SOA 1989 Chicago Spring Meeting focuses on mental health care, including issues with treatment, managing cost, benefit structures, managed care concepts and utilization review.

Description: Presented at June 1996 Spring Meeting. This discussion looks at how a managed care plan can know whether it is doing a good job on utilization review, if there is room for further reduction in utilization, and how a plan should prevent under-utilization.

Description: This editorial gives an overview of articles in this edition of The Actuary including actuarial exams and health care management issues.

Description: This 1991 panel discussion is about PPOs- what they are, how they fit into the current managed care environment, how they fit into different markets, what products they compete against, their effectiveness at controlling medical costs, their effectiveness at meeting employer needs, and what to expect in the future. From the Record of the Society of Actuaries Vol. 17, No. 3B.

Description: The author takes exception to criticism from the AMA about hospital discharge guidelines as being set by actuaries when, in fact, they are set by physicians based on actual practice.

Description: This panel discussion session examines the marketing and pricing considerations of group insurance in the 1980's.

Description: This is a transcript of a 1982 meeting of the Health Section. Includes presentation and discussion of three papers: a. Cumulative Anti-selection Theory by William F. Bluhm b. Regulatory Monitoring of Individual Health Insurance Policy Experience by John B. Cummings c. Medical Care and Services in Canada by Frank G. Reynolds From Record Vol. 8, No. 4

Description: This session will cover the definition of a risk-taking health entity, the kinds of risk and ways to measure it. Included is an update from the Risk-based Capital Task Force. From Record of Society of Actuaries Vol. 20, No. 3B.

Description: This session is about structuring an HMO, rating, financing & solvency and underwriting. From Record of Society of Actuaries 1979 Vol. 5, No. 4.