Description: This session discussion is about marketed health products, distribution methods, and experience. Discussion includes direct response, return of premium, accident, hospital indemnity, hospital income, medicare supplement, nursing home indemnity, long-term care and AIDS. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: This session discusses various techniques for evaluating the success of an existing network as defined by profitability, risk exposure and long-term viability. Topics include network design, provider changes and quality measurement. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 92

Description: Panelists discuss the various managed-care alternatives as well as ways to evaluate their effectiveness. From the 1988 Record of Society of Actuaries, Vol. 14, No. 4A.

Description: An update on HMO market trends and reinsurance products, and services supporting them.

Description: As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical data. That information is captured while patients are in health care facilities. Yet most people spend only a small fraction of their time in these facilities. This article explores what types of data are available to actuaries the provide a more holistic view of the member so that a members physical and emotional needs, the social determinants of health can be taken into consideration along with their clinical needs. Two uses cases are presented so actuaries can see how these types of analyses can be leveraged to improve clinical, operational, and financial performance of risk bearing health entities. Understanding the customer (member) not just the patient enables actuaries to provide new insights and values to our stakeholders across a wide range of business and risk applications.

Description: The panel at this session of the SOA 1989 Chicago Spring Meeting discusses managing ambulatory care [i.e. outpatient], physician visit frequency, multiple testing, defensive medicine and how physicians function in a manged care environment.

Description: This session is about rationing health care. From Record of Society of Actuaries Vol. 18, No. 4A.

Description: Social Insurance & Public Finance Section council members provide a recap of sessions from the 2021 SOA Health Meeting, with a focus on sessions covering Medicare, Medicaid, the ACA, and public policy. The authors include a description of SIPF Section-sponsored sections, including a session on the ACA and a session on CMS's Direct Contracting Model.

Description: In this session at the SOA 1997 Palm Desert Spring Meeting, panelists discuss how managed care dental programs work, the actuarial issues, quality issues, and the perspective of the dentist.

Description: Discusses components of health-care inflation and their impact on health-insurance products. These components include: utilization trends, consumer price index [CPI] changes, regional variation. From the 1988 Record of Society of Actuaries, Vol. 14, No. 1.