Description: This session will discuss the role of actuaries under national health insurance, role of the Canadian health actuaries under that national program and how actuaries can shape the health-care environment in the U.S.. From Record of Society of Actuaries Vol. 18, No. 4B.

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.

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.

Description: The presenters will provide updates on research being conducted under SOA sponsorship. This includes projects on the topics of Direct Primary Care and Patient Centered Medical Homes.

Description: 1993 SOA Spring Meeting, San Diego. This session discussion is about FAS 106 valuations, issues, assumptions, data, per capita claims before versus after age 65 and transition strategies. Topics addressed: 1. Issues and assumptions. 2. Data. 3. Per capita claim cost before versus after age 65. 4. Transition strategies.

Description: Panelists at this session of the SOA 1995 Vancouver Spring Meeting debate the pros and cons of Medical Savings Accounts [MSA]. Viewpoints on the effectiveness of MSAs, expected changes in medical consumer behavior, anticipated cost savings, and other topics are discussed.

Description: The panel at this session of the SOA 1995 Vancouver Spring Meeting discusses issues associated with the development of HMO plans for Medicaid and Medicare beneficiaries.

Description: This session from the 1995 SOA Boston Meeting outlines the proposed Actuarial Standard of Practice ASOP with respect to small-group, reform rate certifications and the feedback from Society members regarding the proposal. From the Record of the Society of Actuaries, Vol. 21, No. 4b.

Description: This panel at the SOA 1997 Palm Desert Spring Meeting discusses how ratings and rating agencies affect health care insurance and related organizations. Advice is offered on maintaining a good relationship with rating services.

Description: On January 1, 1999, the National Association of Insurance Commissioners adopted a new model regulation addressing risk-based capital for managed care organizations. This presentation from Session 16OF of the SOA 1999 San Francisco Annual Meeting discusses the features of this regulation and what has been learned in the months since its adoption. From the Record of the Society of Actuaries, Vol. 25, No. 3.