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

Description: This session discusses how managed care affects the cost and pricing of health care. Included is a discussion of inadequate development and use of practice standards practicing differently for patients covered by different insurers and the malpractice crisis. From the Record of the Society of Actuaries, Volume 29, No. 3, Session 59

Description: This panel discussion session focuses on health care alternatives with the objective to improve care and reduce costs. Includes discussion on national programs, managed care

Description: 2001 SOA Annual Meeting, New Orleans. Health care cost trends have substantially increased in the past two years. Panelists discussed the factors contributing to these increased trends, the prospect for further increases in the future, and national health care issues.

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: Article discussing the use of enterprise risk management in the health care industry.

Description: Panelists discuss the current trend environment and estimating future trend. From the Record of the SOA, Vol. 29, No. 2, Session 52

Description: A listing of articles on managed care and health care issues.

Description: Attendees learn about the Patient's Bill of Rights, pressures on managed care programs and the strategies being used to address the changing dynamics of the managed care environments. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 116

Description: This session discussion is about who is the health care manager, how is health care management evaluated, ethical considerations, malpractice liability and data systems support. Inlcudes a discussion on gatekeepers, provider contracting, utilization management, benefit design, DRG creep, long-term care, From Record of the Society of Actuaries 1987 Vol. 13, No. 1.