Description: This session will discuss the continuing evolution of the managed health care process. Topics include precertification, utilization review, retrospective review, case management, appropriateness review, benchmarking, recredentialing, provider contracting, and integrated medical systems. From Record of Society of Actuaries Vol. 20, No. 3A.

Description: This session discusses continuing care retirement communities. What opportunities exist? What role does the actuary play? From Record of Society of Actuaries, Volume 26, 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 panel at the SOA 1998 New York Annual Meeting discusses current developments in the market for long-term-care insurance including underwriting, regulatory activity, pricing and plan design.

Description: This session discusses rising health care costs and availability of coverage. From Record of the Society of Actuaries 1982, Volume 8, No. 1.

Description: This session discussion presents future needs for services and financing arrangements for aging baby boomers, scenarios of the Long-Term Care LTC situation in the year 2010, and the gap between future needs for LTC and current methods of providing it. From Record of the Society of Actuaries 1987 Vol. 13, No. 4A.

Description: This panel will review the current status of the long-term-care marketplace with respect to non-forfeiture requirements and product design issues. From the Record of the Society of Actuaries, Vol. 21, No. 4a.

Description: Panelists at this session of the SOA 2000 Las Vegas Spring Meeting discuss proposed changes to the NAIC model for Long Term Care Insurance designed to promote initial rate adequacy and decrease the role of rate increases in maintaining profitability.

Description: This session discussion legal liability for unfavorable medical outcomes, effect of utilization review on the quality of care and patient/provider acceptance, protocol development and implementation for managed care, and insurance coverage necessary to protect your organization. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: Panelists at this session of the SOA 1995 Vancouver Spring Meeting discuss claims management issues for long term care insurance.