Description: With the 2017 pricing season nearly complete for commercial health care, and two of the 3R risk mitigation programs in the rear view mirror, what should we expect going forward in the commercial health care markets? This session will focus on coming ACA legislation impacts, market morbidity, consolidation of carriers, strategy, tactics and other concerns.

Description: Panelists discuss the following managed care topics: · Design issues/pros and cons e.g., self-directed health-care model · Provider reimbursement methodologies · Consumer and regulatory issues · Insurance and reinsurance pricing and underwriting issues · Catastrophic claims · Risk-based capital repercussions · Defined contribution health plans From the Record of the Society of Actuaries, Volume 27, No. 1, Session 61

Description: Presented at April 1985 Spring Meeting. This session focused on recent experience of programs designed to contain health care costs.

Description: Presenters at session 99 OF of the Maui II Spring Meeting discuss current issues involved in providing stop-loss coverage for provider-sponsored organization PSOs, managed care health plans, and self-funded groups. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: Panel dicussion on the need for information to keep a block of long-term care insurance profitable: what the business risks are, what is being done to mitigate them, what kind of reports are needed, and how these differ from reporting on other types of health insurance.

Description: While there are many approaches currently being taken to transform health care, to be successful, we know that leading and planning for quality improvement is a science. Data is the common denominator as healthcare organizations establish best-practices, and ultimately overcome unintended variation through strong analytic systems. Health care leaders require specialized data analysis education and training to hone their skills in understanding and managing clinical variation. The problem with unexplained variation in healthcare is that it negatively impacts clinical outcomes, increases the cost of care, and diminishes value for patients. In this session, Dr. Ted James (BIDMC and Harvard Medical School Faculty) will explain how actuaries can offer practical solutions that provide insights into variations in clinical practice that cannot be explained by differences in medical conditions or patient preferences.

Description: 1998 SOA Spring Meeting, Maui. The panelists discussed the primary issues underlying market conduct concerns, as well as possible approaches to evaluating litigation from an actuarial and economists' perspective.

Description: This 1981 session dealt with individual accident and health rate regulation issues. Topics included the history of regulations and their primary purpose or need. From Record of Society of Actuaries, Vol. 7, No. 2.

Description: 1994 SOA Meeting, San Francisco. This session discussed variable annuities and how direct companies use reinsurance to mitigate death and investment risk. Variable annuities and the enhanced death benefit were addressed from the direct and reinsurance sides.

Description: Panelists at this session of the SOA 1995 Vancouver Spring Meeting discuss the wide variety of proposals in Congress to reform the health care/insurance system including Medicare and Medicaid.