Description: Presenter discusses the results published in Dr. David Eisenberg's paper entitled, Integrative Medicine, and offers an update on the data collection effort of the SOA Task Force on Alternative Care. From the Record of the Society of Actuaries, Vol. 25, No. 2.

Description: This is a teaching session discussing periodic health examination and executive health profiling. From Record of the SOA 1976 Vol. 2 No. 4

Description: Recent health-care cost trends have exhibited significant variability by insurer, geographic area and type of benefit. Employers and insurers are increasing co-pays and reimposing managed care provisions. How have these factors affected the measured trend. From the Record of the Society of Actuaries, Volume 30, No. 1, Session 17

Description: More and more providers are desiring risk-based contracts instead of traditional FFS-based contracts. This session is intended to outline some of the actuarial best practices in risk-based contracting related to the many flavors of the CMS ACO programs, as well as Commercial risk-based contracts.

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: This session discussed about expected trends in medical care costs, changes in Medicare reimbursement practices and their short- and long-term effects, the emerging responsibility for providing long-term care, rise of managed health care, new and old participants, selection issues, multiple options, and small group market.

Description: Changes introduced by various Medicare Alternative Payment Models and the Medicare Access and CHIP Reauthorization Act (MACRA) have accelerated an existing market trend of shifting some of what has traditionally been considered “insurance risk” to providers. The Provider Risk Sharing Boot Camp will give attendees deeper insights into methods, current thinking, and alternative solutions that actuaries can use to help providers understand and manage the financial and actuarial risks that they are taking, many for the first time.

Description: Panelists discuss current issues and trends impacting health plan contracting with providers. Hospital and physician contracting is discussed from both a payer's and provider's persepctive. From the Record of the Society of Actuaries, Volume 30, No. 1, Session 30

Description: Physician performance is key to minimizing the cost of health care and providing health care benefits. Measuring and managing physician performance may be the factor that determines who survives in the next century. This presentation from Session 70PD of the SOA 1996 Colorado Springs Meeting is about profiling and managing physician performance. From the Record of the Society of Actuaries, Vol. 22, No. 2.

Description: This session discussion is an overview of issues and recent developments: alternative delivery systems, managed care, utilization review, traditional group insurance, actuarial issues of AIDS, Medicare and retiree medical benefits, COBRA, the uninsured etc., HMO solvency, and long-term care. From Record of the Society of Actuaries 1988 Vol. 14, No. 1.