Description: This session discussion is about who is the health care manager, how is health care management evaluated, ethical considerations, malpractice liability and data systems support. Inlcudes a discussion on gatekeepers, provider contracting, utilization management, benefit design, DRG creep, long-term care, From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: The medical and behavioral health care provider communities have long debated whether high-quality behavioral health care reduces medical costs. This presentation from Session 85PD of the SOA 1996 Colorado Springs Meeting reviews past studies relating to medical cost offsets and explores the potential magnitude of such design and delivery of medical and behavioral health care programs to encourage potential health care cost savings and to increase wellness. From the Record of the Society of Actuaries, Vol. 22, No. 2.

Description: This session discussion is about controls on utilization, eligibility control, pricing considerations, benefit design, mail order programs and physician dispensing. From Record of the Society of Actuaries Vol. 15, No. 1.

Description: This session discussion is about high cost claimants in medical benefit plans and how to control costs and anti-selection. From Record of the Society of Actuaries Vol. 15, No. 3B.