Description: Panelists define the various provider-centered managed-health-care entities and discuss the differences among them. From the 1997 Record of Society of Actuaries, Vol. 23, No. 3.

Description: This is a discussion of the medical loss ratio, the confusion and debate over the calculation method under the new MLR requirement, and the opportunities it presents to consulting actuaries.

Description: Discussion of developments with regards to addressing major medical care needs since 1959, including the passage of Medicare.

Description: Essay discussing cost, quality and access of healthcare and then describes the need for rationing.

Description: Using Healthcare Claims Data to Create Actuarial Models.

Description: The presenters will discuss the range of draft repeal/repair/replace legislation proposed to date, the elements most likely to be included in the final law, and possible temporary and transitional measures to be taken. They will share their findings regarding the impact on the industry of these changes using the most up to date data and modeling available.

Description: This session discussion is about the characteristics common in HMOs concentrating on the small employer market, Preferred Provider Organizations marketed to small employers, items requiring special attention when marketing Alternate Delivery Systems to small employers, alternate delivery options in an integrated multiple options package. From Record of the Society of Actuaries Vol. 12, No. 1.

Description: In this editorial the author discusses how actuaries can help mitigate the impact of managed care lawsuits. Examples are provided. From: The Actuary, April 2000 – volume 34 - Issue 4.

Description: The Brazilian private health care market ended 2010 with US $48 billion worth of premium. This already makes it Latin America’s largest health care market and sixth in the world ranking. This article provides information on the market and opportunity for growth.

Description: This article discusses the potential characteristics of health care reform and the associated impact on small insurance companies.