Description: Presenters discuss the differences between patient treatment protocols and length-of-stay guidelines, and some of the issues that payers confronted as the protocols were implemented. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: Participants discuss what steps can be taken to anticipate and mitigate the effect of the recession on health insurance costs. Those attending this session gain an understanding of the factors, including current economic conditions driving the pricing and design of health insurance products. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 78of.

Description: This session discussion is about the profitability outlook, both long and short term, for various health coverage related products such as: HMOs,, Small group insurance TPAs and ASO, Individual medical, and Individual disability income. From Record of the Society of Actuaries Vol. 14, No. 4A.

Description: In the course of consulting engagements, actuaries almost always find they need one or more of the following resources: -Healthcare data, which may be at the individual patient level or on a particular population. -Health services research studies which describe, summarize, try to alter, or predict patients’ use of health resources. -Health policy information, which describe public or private actions which affect the access, cost and quality of medical care. This document describes the ever-changing resources and specifies where they may be obtained.

Description: Wrap-up of publication and thank-yous.

Description: This essay highlights a view that many have for meeting these goals is one of a two-tiered system. The first tier in this system is a universal one controlled by the federal government, while the second tier is a private sector supplementing the first tier. The remainder of this paper will examine this two-tiered system and how various stakeholders in today’s system will be affected.

Description: A panel of experts discusses the effect of malpractice costs on health care delivery and health insurance, and potential solutions to reducing the costs of malpractice, including research on limiting human error and possible litigation reforms. From the Record of the Society of Actuaries, Volume 29, No. 3, Session 118

Description: This analysis provides an overview of the functional components of the managed care system. It discusses the market forces underlying the United States’ system for health care financing and delivery and suggests how market forces impact the health care industry. The analysis focuses on societal goals for health care delivery and on managed care’s effectiveness in enabling achievement of those goals. The analysis develops and uses an innovative model developed to summarize the complex interplay among the many stakeholders, or participants, in the health care system. The model provides a framework for analysis of the many relationships among stakeholders. The analysis also highlights current issues in managed care, particularly the barriers that impede collaboration among stakeholders.

Description: Taxes and Fees Introduced by the ACA

Description: This session discussion is about outside actuarial profession's perspective on health care cost, insurer's role in medical care management, relationships between treatment decisions, available coverage, appropriate use of underwriting and paying for uncompensated care. From Record of Society of Actuaries Vol. 18, No. 1A.