Description: This session discussion is about methods of managing care, what methods have been most effective, experience to date under managed care products, are savings being generated, employer acceptance of managed care products, provider acceptance of managed care products, what will future managed care programs look like. Includes a discussion on utilization review and management, From Record of the Society of Actuaries 1988 Vol. 14, No. 1.

Description: In this presentation, Richard D. Lamm, former Governor of Colorado and currently Director of the Center for Public Policy and Contemporary Issues at the University of Denver, talks about the increasing costs of health care and why the miracles of American medicine have simply outpaced our ability to pay. From the Record of the Society of Actuaries Vol. 17, No. 3A.

Description: Recap of the Health Policy Summit held in honor of Health Affairs’ 25th anniversary.

Description: This project shows how to use agent-based models to simulate the behaviors of agents in complex health systems.

Description: This project shows how to use agent-based models to simulate the behaviors of agents in complex health systems.

Description: This is the databook for the "Health Care Cost - From Birth to Death". This study used commercial data held by the Health Care Cost Institute (HCCI) and Medicare fee-for-service data to analyze health care cost differences by age and their contribution to overall health care cost change. The commercial data includes claims from 2002 through 2010 and the Medicare data includes claims from 2006 through 2010.

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: The Canadian public health care delivery system continues to experience growing needs for increased funding. The total health care delivery system today costs Canadians $98 billion a year or about 9.7 percent of GDP. Of that total cost, 71 percent is paid by the government, which means the taxpayers. While that may pale in comparison to the costs in the U.S., it does make the Canadian system one of the five most expensive health care delivery systems in the world. While today’s cost pressures are of major concern, of even more concern are the costs being projected by many participants in the current health care debate for the period when the Baby Boom makes higher demands on the Canadian health care delivery system. Traditional projection methods, however, do not differentiate between the elderly who survive the year versus those who die as to their use of health care systems. This paper first looks at the impact that this differentiation could have on projected costs. Second, the paper looks at the impact that the wide use of Advance Directives [also called Living Wills] might have on future health care costs and some of the issues surrounding their use. From Actuarial Research Clearing House 2004, Vol. 1.

Description: Article summarizes the sessions of the 2011 SOA Health Meeting held in Boston.

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