Description: Insurers are becoming increasingly involved in the development and marketing of prepaid health care service plans, or Health Maintenance Organizations HMOs. The article describes four different approaches for establishing capitation rates for HMOs 1. Integrated Budgeting Approach, 2. Inventory Approach, 3. Group Insurance Rating, and 4. Actuarial Approach.

Description: This article is illustrates the implications of the managed care organization MCO risk based capital RBC formula adopted by NAIC and compares it to the health organization risk based capital HORBC formula. From The Actuary, Nov 1997, Vol. 31, Issue 9

Description: This article is about our dependence on prescription drugs, their cost and the desire for insurance coverage of drugs.

Description: Provides background on the Brazilian insurance authority's ban of the group life rider benefit for Total and Permanent Disability due to illness, TPD. Then discusses alternative benefits that could be offered as replacements.

Description: This editorial gives an overview of articles in this edition of The Actuary including actuarial exams and health care management issues.

Description: This article is a review of Howard E. Winklevoss and Alwyn V. Powell's Continuing Care Retirement Communities: An Empirical, Financial and Legal Analysis. The book discusses the actuarial aspects of a CCRC, especially the establishment of fee structures.

Description: This article describes the functions of the National Center for Health Statistics which serves as the focal points for U.S. health statistics. The NCHS data collection program goes beyond the important vital statistics. The Center produces data on the extent of illness and disability in the population.

Description: Overview of Medicare's 1979 financial projections under optimistic, pessimistic, and intermediate assumptions, for the Hospital Insurance and Supplementary Medical Insurance programs.

Description: This article summarizes a report in the June 13, 1974 issue of the New England Journal of Medicine, Policy Options and The Impact of National Health Insurance which estimates the dollar and time price of various features common to many national health insurance proposals and the resulting effect on demand.

Description: This article discusses what actuaries see as ideal components of a health care reform package with an emphasis on cost control, efficiency, elimination of fraud and reduction of errors.