Description: This session from the 1995 SOA Vancouver Meeting reviews capitation arrangements in health insurance, the reasons for capitating providers, capitation formulas, cost reduction strategies and the role of the actuary in evaluating experience for capitation. From the Record of the Society of Actuaries, Vol. 21, No. 3a.

Description: Presented at October 1996 Annual Meeting. This session presents and discusses the NAIC's model bill for risk-based capital as it relates to health insurance.

Description: In light of nonprofit health insuring organizations converting from nonprofit to for profit status and with the flurry of health maintenance organization M&A activity, this session at the SOA 1997 Palm Desert Spring Meeting addresses actuarial techniques used to measure 'value' and the issues surrounding such valuation.

Description: This paper includes three discussions. The first is about permanent type insurance used as a substitute for group term insurance. The second discussion is about long-term disability experience, offsets and underwriting. The third discussion is about medical care expense insurance including experience, trends, impact of Medicare and COB. From Transactions of Society of Actuaries 1968, Vol. 20 Pt. 2, No. 57

Description: This is a panel discussion about the future of health care and health care insurance. From Transactions of Society of Actuaries 1968, Vol. 20 Pt. 2, No. 58

Description: At this session of the 2004 Valuation Actuary Symposium, SEC medical rollforward schedules are reviewed. The background that led to these schedules, i.e. stock analysts attempting to understand earnings results, is presented. Differences in reserving practices among managed care companies are discussed.

Description: This is a presentation From 38th Annual Actuarial Research Conference 8/9/2003, University of Michigan, Ann Arbor, Michigan. Pricing health insurance presents numerous statistical problems. This paper develops a non-parametric method for handling these problems. This method involves kernel density estimation of the charge level distribution and also kernel smoothing between the reimbursement function derivatives. It derives some properties of the estimates so obtained. It illustrates the method with some dental data and compares the results to some other simpler estimation techniques.

Description: This panel discussion session focuses on filling the gaps in US health insurance including the identification of the uninsured & underinsured and proposed bills - catastrophic insurance, the Kennedy bill & NAICs Building Blocks proposal. 1979 Vol. 5 No. 3

Description: This panel discussion session focuses on developments in health insurance minimum loss ratio regulation including the NAIC Minimum Loss Ratio guidelines, loss ratios as a regulatory tool, and state regulatory actions. From Record of Society of Actuaries 1981, Vol. 7, No. 1.

Description: This 1981 session dealt with individual accident and health rate regulation issues. Topics included the history of regulations and their primary purpose or need. From Record of Society of Actuaries, Vol. 7, No. 2.