Description: Panelists discuss consumer-driven health plans [CDHPs]. Topics include pricing, large employer perspectives, and the overall impact on the marketplace. From Record of Society of Actuaries, Vol. 30, No. 1, Session 95

Description: Presented at June 1996 Spring Meeting. This discussion looks at redirecting the traditional role of the actuary into new areas such as working with doctors to deal with medical management issues, dealing and negotiating with providers and how to help the company develop a provider payment strategy. Employers negotiating directly with providers is also discussed.

Description: This session from the 1992 Valuation Actuary Symposium explores claim reserves, including reserves for stop-loss products, claims reserves for group disability insurance products LTD, and claim reserves for shorter term claim payouts primarily major medical type products and Medicare supplement type products. It also covers Actuarial Standard of Practice 5 dealing with incurred health claim liabilitities.

Description: This session discusses HMOs: do they manage health better, do provider financial incentives reduce quality, do HMOs profit from shadow pricing, and do they attract better risk. From Record of Society of Actuaries Vol. 16, No. 1.

Description: This 1981 session focused on health insurance coverages. Questions included: 1. What are problem areas that have given rise to recent legislative and regulatory activity? 2. What new or different sales practices are being utilized to alleviated consumerist and regulator concerns? 3. How have legislative restrictions on product design and sales practices affected pricing adequacy, morbidity experience and the long-range availability of such coverages? 4. What can actuaries do to educate the public and regulators about cost projections and premium adequacy? 5. Is it ethical to market a product with a low benefit payoff, high expense ratio? From Record of Society of Actuaries, Vol. 7, No. 2.

Description: Participants discuss the current issues of work site health product portfolio designs, including various supplemental health products for large & small employers and individuals. Topics include dental and various voluntary products. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 27

Description: This panel discussion about loss reserves for health insurance provides an overview of the various methods of developing them, and analysis of the different reserve-development patterns for: Hospital, Surgical and Medical, Dental, Major Medical, and Comprehensive Major Medical. From the 1987 Record of Society of Actuaries, Vol. 13, No. 1.

Description: This session will teach the ABCs of HMOs and PHOs. Topics include provider networks, contracting, utilization controls, integrated health care, From Record of Society of Actuaries Vol. 20, No. 3A.

Description: Panel discussion about the business, regulatory, and consumer issues relating to loss ratios for Accident & Health Insurance. From the 1980 Society of Actuaries Spring Meeting in Minneapolis, as published in the 1980 Record of Society of Actuaries, Vol. 6, No. 2.

Description: Panelists discuss the various types of risks in health insurance and health-care delivery, and various types of risk-absorption mechanisms for sharing these risks among providers, insurers, employers, and employees. In addition, they address the management of the risk from a corporate perspective, which will include bottom-line earnings and marketing goals and objectives. From the 1987 Record of Society of Actuaries, Vol. 13, No. 4B.