Description: This session discussion is about marketed health products, distribution methods, and experience. Discussion includes direct response, return of premium, accident, hospital indemnity, hospital income, medicare supplement, nursing home indemnity, long-term care and AIDS. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: Panelists at this session of the SOA 1998 Maui II Spring Meeting discuss the impact point-of-service [POS] plans have had on both HMOs and on indemnity carriers. Different types of POS plans and the problems presented by primary care gatekeepers are discussed.

Description: Several key market trends have encouraged the development and launch of direct to consumer business models over the last few years. The presenters will look at the impact this is having on traditional business models and the potential it has to open up growth paths to target markets. They will cover several new entrants coming to market aiming to solve specific industry gaps and/or create new opportunities in distribution, risk assessment, customer engagement and the consumer buying experience.

Description: This session discusses various techniques for evaluating the success of an existing network as defined by profitability, risk exposure and long-term viability. Topics include network design, provider changes and quality measurement. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 92

Description: This session discussion is about health care trends including current experience, measurement problems, effect of selection, and variation by size of group. Also discussed is the new Medicare RBRVS physician fee schedule, anticipated cost shifting, and AIDS. From Record of Society of Actuaries 1990 Vol. 16, No. 4A.

Description: This 1991 panel discussion is about health care trend including current experience, measurement techniques and problems, uses of trend projections, and other considerations such as the impact of selection and the impact of initial and renewal underwriting practices. From the Record of the Society of Actuaries Vol. 17, No. 3A.

Description: Presented at September 1995 Valuation Actuary Symposium. This session talks about the Long-Term Care Insurance Valuation Task Force report.

Description: 1993 SOA Spring Meeting, Boston. This session discussion is about new dimensions of pricing and risk selection for direct-response insurance products. Topics discussed: 1. Multiple dimensional set of assumptions relating response rates. 2. Expected claims. 3. Projected persistency. 4. Customer buying propensities.

Description: This session will explore the various contracting techniques that CMS, providers, and employers are using to achieve their strategic objectives across both the Commercial and Medicare markets.

Description: This session will address the increased cases of managed care in Medicaid states. This will include some indication of how utilization patterns differ for those populations versus commercial populations. From the Record of the Society of Actuaries, Vol. 21, No. 3b.