Description: This session is about individual medical and regulatory issues, loss-ratio requirements, form and rate approval, compliance and reporting issues. From Record of Society of Actuaries Vol. 19, No. 4B.

Description: The panel at this session of the SOA 1997 Palm Desert Spring Meeting addresses possible strategies to identify and control factors causing medical inflation.

Description: Panelists define the various provider-centered managed-health-care entities and discuss the differences among them. From the 1997 Record of Society of Actuaries, Vol. 23, No. 3.

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: Panelists at this session of the SOA 1998 Maui II Spring Meeting discuss the strategies various insurers have taken in response to the Health Insurance Portability and Accountability Act [HIPAA] requirement to use guaranteed issue for small group and certain individual health plans to qualified individuals.

Description: This panel at the SOA 1998 New York Annual Meeting discusses the history of HMOs with respect to actuarial support and looks at how actuaries can and should be involved in supporting HMOs.

Description: 1994 SOA Meeting, San Antonio. This session was about provider network building in nonmetropolitan areas. Question addressed: 1. How can an effective delivery system be built to serve rural areas? 2. What influence will health care reform have on such systems? 3. Does a single-payer system make sense for such populations? 4. How does health care reform impact nonmetropolitan markets?

Description: Presented at October 2000 Annual Meeting. Discusses recent enrollment and cost trends and competitive dynamics with Medicare+Choice capitated plans. Expected future trends are also discussed.

Description: Experts discuss new strategies related to provider contracting and network management. Topics include various reimbursement approaches and risk-sharing arrangements, unique risk arrangements for certain provider specialties, unique risk managements for specific diseases, and the role of care management/care coordinators. From the 2002 Record of Society of Actuaries, Volume 28, No. 2. Session 59PD of the San Francisco Spring Meeting.

Description: This is a panel discussion session on the purpose, rationale and conclusions of the Committee for Accident and Health Valuation Principles. Discussion also covers the comments received and any modifications to their original draft report.