Description: This 1992 panel discussion is about regulations proposed or adopted by the NAIC, the Health Insurance Association of America [HIAA], and states to regulate small group underwriting and rate guidelines. From the Record of the Society of Actuaries Vol. 18, No. 1A.

Description: Panelists at this session of the SOA 1997 Palm Desert Spring Meeting present various physician incentive programs, including withholds, bonuses, capitation, and other risk-sharing concepts. Implications and effectiveness of each type of program and appropriate situations for applying each program are discussed.

Description: In practice, the actuary may be required to forgo independent mathematical judgment in order to follow regulations which prescribe specific exposure or enforce counts for full and partial credibility. In this paper the authors give specific examples of such regulation from various states, and discuss the positive and negative features of the regulatory approaches. From Actuarial Research Clearing House, 2003 Vol. 3.

Description: Changes introduced by various Medicare Alternative Payment Models and the Medicare Access and CHIP Reauthorization Act (MACRA) have accelerated an existing market trend of shifting some of what has traditionally been considered “insurance risk” to providers. The Provider Risk Sharing Boot Camp will give attendees deeper insights into methods, current thinking, and alternative solutions that actuaries can use to help providers understand and manage the financial and actuarial risks that they are taking, many for the first time.

Description: Discussion of developments with regards to addressing major medical care needs since 1959, including the passage of Medicare.

Description: This article exams societal trends that may influence retirement patterns and presented retirement scenarios. From The Actuary Vol. 24, No. 12

Description: Article from The Actuary January 1993 Volume 27, No. 1 highlights solvency measures and what happens if they don't work. Includes discussion on US guaranty association and Canadian CompCorp.

Description: Article from The Actuary September 1992 – Volume 26, No. 7 is about health insurance and anti-risk classification & rate regulation movement

Description: In the last 10 to 15 years, new health insurance programs have proliferated in the Latin American and Caribbean regions. The reason for this boom has been, basically, the need for insurance companies to identify and implement new or additional lines of insurance business in order to match or exceed the increased numbers of competitors now working in these markets. This is combined with the stronger reinsurance capacity that these insurance companies had access to, which can be attributed to the need for increased reinsurance protection that arose a number of years ago, when many insurance and reinsurance companies were seeking larger volumes of businesses based on the expected growth potential of the region.

Description: NAIC Health Update from quarterly meeting. Issue No. 42.