Description: This 1991 panel discussion about individual health rate filings asks the following seven questions and answers each pro and con: 1. Should individual accident and health be guaranteed renewable? 2. Should there be rate increase caps? 3. Should duration rating be permitted? 4. Should optional pre-filing be permitted? 5. Should loss ratios be increased? 6. Should the pending small-group regulation laws apply to the individual policy area? 7. Should the loss ratio be the only determinant in the approval of a rate change? From the Record of the Society of Actuaries Vol. 17, No. 4B.

Description: This session is about appraisals of blocks of health business: issues to consider, building a model, setting assumptions and ASB requirements. From Record of Society of Actuaries Vol. 19, No. 1A.

Description: On December 21, 2018, the Centers of Medicare & Medicaid Services (CMS) released the final rule for Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program. 'Pathways to Success' makes sweeping changes and will push ACOs to assume financial risk more quickly. This session will discuss the key changes in the final rule, reasons why providers would remain in the program while being forced to downside risk, and how actuaries can add value to providers who will be taking on millions of dollars of risk in the coming years.

Description: This session from the 1995 SOA Vancouver Meeting covers trends in health group products and experience, including managed care, PPO's, HMO's, POS's and PHO's. It also covers new developments in group long term disability products. From the Record of the Society of Actuaries, Vol. 21, No. 3a.

Description: Panelists at this session of the SOA 1995 Vancouver Spring Meeting discuss the financial implications of managed care for health insurance profitability. Factors that affect profitability for managed care companies and health insurance companies are discussed.

Description: This session from the 1995 SOA Boston Meeting presents the results of risk adjuster research in health care assessment and discusses the potential use of risk adjusters in health care reform efforts. From the Record of the Society of Actuaries, Vol. 21, No. 4b.

Description: Presented at June 1996 Spring Meeting. This discussion looks at how a managed care plan can know whether it is doing a good job on utilization review, if there is room for further reduction in utilization, and how a plan should prevent under-utilization.

Description: At this presentation from Session 6PD of the SOA 1996 Colorado Springs Meeting, the panelists discuss the role of the valuation actuary in health insurance. The focus of the session is scenario testing in health insurance and how this is a tool in assessing the risks of the company. Statutory minimums and statements of opinion are discussed. From the Record of the Society of Actuaries, Vol. 22, No. 2.

Description: Facilitators lead a discussion of recent experiences and current issues regarding the valuation of medical and dental insurance and managed care products. Includes a discussion of deficiency reserves, HMO reserving, liquidity tests, cashflow testing and codification of regulations. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 132

Description: Panelists and audience members give their views on health-insurance topics including recent large claims experience, frequency and severity components of large claims trends, pricing, reserving, and the outlook for the future. From the 2002 Record of Society of Actuaries, Volume 28, No. 2. Session 79OF of the San Francisco Spring Meeting.