Description: This analysis provides an overview of the functional components of the managed care system. It discusses the market forces underlying the United States’ system for health care financing and delivery and suggests how market forces impact the health care industry. The analysis focuses on societal goals for health care delivery and on managed care’s effectiveness in enabling achievement of those goals. The analysis develops and uses an innovative model developed to summarize the complex interplay among the many stakeholders, or participants, in the health care system. The model provides a framework for analysis of the many relationships among stakeholders. The analysis also highlights current issues in managed care, particularly the barriers that impede collaboration among stakeholders.

Description: This session discussion is about managed care and various aspects of what is working in managed care. From Record of the Society of Actuaries Vol. 15, No. 3B.

Description: This session covers the economic principles of “buffet pricing” and whether such pricing can be used for health care. Presented is an argument in favor of “all you can eat” pricing of health care where consumers pay a fixed fee and have no constraints on consumption. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 118

Description: Reinsurance for Long-Term Care Insurance by Gary L. Corliss from Long Term Care Newsletter, April 2000, Issue No. 2

Description: Three long-term care claimants lead very full lives, thanks to making the most of their employer-sponsored group long-term care insurance coverage, in terms of using it through intelligent and conservative benefit utilization.

Description: Read detailed analysis of a legislated act aimed in providing access to affordable, quality, accountable health care.

Description: This article contains excerpts from the first three articles that were released through the strategic initiative - Commercial Health Care: What’s Next?

Description: This session discussed: Relative roles and interdependencies between providers and insurers - traditional and future Risks and financial incentives from the provider perspective Marketplace forces determining trends in inflation and utilization in the health care arena. From Record of the Society of Actuaries Vol. 11, No. 1 in San Francisco

Description: Presented at April 1985 Spring Meeting. Addresses questions being asked about the future of health care financing: 1. Will the traditional insurer-based program be the predominant financing mechanism in the future? 2. Will Preferred Provider Organizations, Health Maintenance Organizations or other mechanisms displace current approaches? What additional institutions will enter this field? 3. What major factors will determine the outcome?

Description: Presented at October 1986 Annual Meeting. This session discussion is about joint ventures between Health Maintenance Organizations 'HMOs' and insurance companies, dual or triple option rating strategies, how these ventures are structured from a financial standpoint, and how separate organizational objectives are met.