Description: Discusses health-care-cost reimbursement structures, from the facility/hospital perspective and the professional/doctor perspective. Also discusses risk-absorption methods. From the 1987 Record of Society of Actuaries, Vol. 13, No. 1.

Description: This session discusses defined-contribution plans as a method for employers to manage costs. Panelists discuss product designs and strategies as well as the impact on the health insurance market and third party administration business. Included is a discussion on e-health insurance. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 59

Description: Presenters at session 99 OF of the Maui II Spring Meeting discuss current issues involved in providing stop-loss coverage for provider-sponsored organization PSOs, managed care health plans, and self-funded groups. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: This discussion looks at the success rate companies have in the sale of long-term disability benefits, benefits provided after plan termination, appropriate experience for determination of premiums and reserves, determination of reserve liabilities for continuing claims, and experience rating.

Description: Discussion of types and amounts of benefits continued on retired employees and their dependents, the cost of continuance of pensioner benefits under the group plan and methods of financing benefits during active employment.

Description: This session discussed Managing The Delivery Of Health Care To Control Medical Costs. Includes organizational & marketing strategies, rate strategies, selection issues, plan design, and regulation. Record of Society of Actuaries 1983 Vol. 9, No. 4

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: While actuaries have been busy worrying about the financial implications of health maintenance organizations [HMOs], preferred provider organizations [PPOs], and exclusive provider organizations [EPOs], the Actuarial Standards Board [ASB] Health Committee has been grappling with a definition for actuarial soundness and what an actuary should do if, in his or her opinion, a plan is not actuarially sound. This presentation from Session 52PD of the SOA 1996 Orlando Annual Meeting is about the actuarial standards of practice under development by the Academy Health Committee. Topics discussed include standards for the actuarial certification of small employer health benefit plans and documentation and disclosure in health benefit plan ratemaking. From the Record of the Society of Actuaries, Vol. 22, No. 3.

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: This presentation from Session 71PD of the SOA 1996 Colorado Springs Meeting discusses demutalization, mergers of health maintenance organizations [HMOs], and conversion from nonprofit to for-profit. It also addresses the question: How does an actuary value HMOs? From the Record of the Society of Actuaries, Vol. 22, No. 2.