Description: This session from the 1993 Valuation Actuary Symposium presents major results of the group's discussions on the practice notes for large group medical and stop-loss insurance including the definition of small groups, the rating structure, adequacy of asset determination and methods for testing reserve adequacy.

Description: A divisive confrontation over health care pricing is almost inevitable over the next few years. What will ultimately happen is a political decision, not an actuarial one—but it will have major consequences for the trend in health care costs and the divergence between public and private insurance premiums.

Description: This discussion is on the availability of utilization and cost experience data for group medical care insurance coverages. Specifically, it highlights the role of the Society of Actuaries in intercompany data collection, employer demands for sophisticated utilization data for comparison by industry and geographic location, sources of industry-wide data, data resource potential of health claims processing by the National Electronic Information Corporation, and antitrust implications. From Record of the Society of Actuaries 1981, Volume 7, No. 4.

Description: Intended for actuaries interested in understanding more about the Medical Loss Ratio and the impact Quality Improving Activities (QIA) and fraud reduction expenses have on the rebate calculation. This session will focus on what expenses qualifies as QIA, examples of programs from major carriers, current regulations and the differences between commercial, and Medicare, and Medicaid requirements.

Description: The “Getzen Model” is a set of linked formulas to facilitate projections of average medical care cost increases over the long run.

Description: 1997 Valuation Actuary Symposium, Session 20 explores financial performance measurement.

Description: Panelists at this session of the SOA 1995 Vancouver Spring Meeting present ways to measure physician performance and the issues associated with gathering the data for doing so.

Description: This session from the 2003 SOA Orlando Meeting presents medical advances, common diseases and the resulting trends for the future on longevity and morbidity risk, underwriting trends and measuring the impacts of the changes. From the Record of the Society of Actuaries, Volume 29, No. 3.

Description: This is a discussion about group life and health insurance. From Transactions of Society of Actuaries 1963, Vol. 15 Pt. 2

Description: The author explores the nature of risk in the actuarial profession and suggests that all of us actuaries in the world are connected by this common bond.