Description: Presented at June 1996 Spring Meeting. This discussion looks at redirecting the traditional role of the actuary into new areas such as working with doctors to deal with medical management issues, dealing and negotiating with providers and how to help the company develop a provider payment strategy. Employers negotiating directly with providers is also discussed.

Description: This article discusses the impact for MACRA legislation that will impact the Medicare Supplement market in 2020 and the ramifications for Med Supp carriers

Description: Read the February 2018 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.

Description: This presentation is a panel discussion, session 54PD, from the 2004 Spring Meeting of the Society of Actuaries, held June 14-15 in San Antonio, TX. This session covers the impact of segmentation and underwriting on expected mortality and morbidity. Panelists discuss the importance of data mining and customer selection on ultimate experience, setting up direct marketing applications with the right type of questions to maximize responses but limit risk, the use of prescription drugs and other databases, and industry practices for obtaining customer information. Discussion from participants is included. From the Record of Society of Actuaries, Volume 30, No. 2.

Description: Panelists discuss consumer-driven health plans [CDHPs]. Topics include pricing, large employer perspectives, and the overall impact on the marketplace. From Record of Society of Actuaries, Vol. 30, No. 1, Session 95

Description: The ACA’s Medical Loss Ratio Provisions

Description: Introduction to the ACA @ 5 publication

Description: Discussion that developing credibility factors for group health insurance can be accomplished empirically through the use of stochastic models with appropriate parameters and fairly readily obtainable data, without the need for unrealistic assumptions.

Description: This session from the 1992 Valuation Actuary Symposium explores claim reserves, including reserves for stop-loss products, claims reserves for group disability insurance products LTD, and claim reserves for shorter term claim payouts primarily major medical type products and Medicare supplement type products. It also covers Actuarial Standard of Practice 5 dealing with incurred health claim liabilitities.

Description: A Discussion of why female mortality is higher than male mortality at higher ages.