Description: From session 30OF at a meeting of the Society of Actuaries held in Las Vegas, NV May 22-24, 2000 This session introduces a popular new model, the Quality Compass Model, which seeks to balance concerns regarding consumer satisfaction, clinical outcomes, cost, and utilization.

Description: Panelists discuss the contractual relationships between health-care providers and health-care insurers [payers], and how they can be improved. Discussed are managed care, HMO, and PPO types of negotiated contracts in the private arena. Recent trends in types of provider arrangements, and expectations for the future, are also discussed. From the 2002 Record of Society of Actuaries, Volume 28, No. 3. Session 97PD of the Boston Annual Meeting.

Description: Panelists discuss the role of the valuation actuary in health insurance. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: This session discussion is about health systems in Australia, Canada, Germany, Japan, The Netherlands, and the United Kingdom. It includes critical issues facing each system and their relative strength and weaknesses. From Record of Society of Actuaries Vol. 16, No. 4A.

Description: Presented at October 2000 Annual Meeting. Discusses demographic and economic change, changes in the market, and the direction of the legislative and legal environment for medical and long term care insurance.

Description: Panelists discuss several methods for implementation of the Balanced Budget Act requirement that the Medicare program adopt a risk adjustment mechanism for implementation in the year 2000. From the Record of the Society of Actuaries, Vol. 25, No. 2.

Description: This session at the SOA 1990 Annual Meetings looks at underwriting for small group health plans of at least five lives. Various proposals for improving the small group market are discussed.

Description: This 1991 panel discussion is about the NAIC and HIAA models, as well as state regulations proposed or adopted to regulate small group underwriting and rate guidelines. From the Record of the Society of Actuaries Vol. 17, No. 3A.

Description: Panelists at this session of the SOA 1997 Palm Desert Spring Meeting present various physician incentive programs, including withholds, bonuses, capitation, and other risk-sharing concepts. Implications and effectiveness of each type of program and appropriate situations for applying each program are discussed.

Description: This session discussion is about what factors affect the small employer's choice of programs, how may the small employer capitalize on recent developments in managed health care, what problems do insurance companies have in marketing and communicating their plans to small employers, are partially self-insured benefits a threat or an opportunity for carriers in this market. From Record of the Society of Actuaries Vol. 12, No. 1.