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: A listing of articles on managed care and health care issues.

Description: Panelists at this session of the SOA 1997 Palm Desert Spring Meeting discuss the types of health care reform ideas and how they are analyzed, the specific programs currently in proposed legislation, and the role of the American Academy of Actuaries in the process.

Description: Attendees learn about the Patient's Bill of Rights, pressures on managed care programs and the strategies being used to address the changing dynamics of the managed care environments. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 116

Description: Paper summarizes articles on quality care issues including - measurement & reporting, financing, patient safety, standards & education, and leadership.

Description: This is the second installment of an article about using microeconomics and the concepts of embedded value to better manage and understand the profitability of direct marketing programs.

Description: The main purpose on this panel discussion is to deal with certain actions which private health insurance must take if the threat of socialized medicine and state health insurance is to be overcome. The panelists address the following issues: 1. How hospital and medical care needs are being met [or can be met] by health insurance plans, 2. The role of local, state and federal government agencies, and 3. The relations of hospitals and the medical profession. From Transactions of Society of Actuaries 1959, Vol. 11, No. 30 AB.

Description: This discussion looks at the causes of the increase of costs in medical care and what can be done to keep these costs under control. Form Transactions of Society of Actuaries 1959, Vol. 11, No. 30 AB.

Description: This session discussion is about methods of managing care, what methods have been most effective, experience to date under managed care products, are savings being generated, employer acceptance of managed care products, provider acceptance of managed care products, what will future managed care programs look like. Includes a discussion on utilization review and management, From Record of the Society of Actuaries 1988 Vol. 14, No. 1.

Description: This presentation from Session 86PD of the SOA 1996 Orlando Annual Meeting provides the physician perspective on ethical questions resulting from utilization review decisions infringing on physician decisions in providing health care. From the Record of the Society of Actuaries, Vol. 22, No. 3.