Description: Presented at May 2000 Spring Meeting. Discusses trends affecting costs for prescriptions, factors behind these trends, and cost management strategies for both the commercial and Medicare markets.

Description: This session discussed misc Health Section issues including trends in individual accident & health insurance, increases in health care costs, DRG payments, art & science of anticipation, health care cost containment, HMOs and PPOs. From Record of Society of Actuaries 1983 Vol. 9, No. 4

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: Health Section News, August 2005, Issue 50 which discusses the effective management of prescription drug utilization and coverage that continue to represent one of the biggest challenges facing insurers, managed care organizations, employers and consumers alike.

Description: Overview of a benefit rush and its effects on companies.

Description: This analysis provides an overview of the functional components of the managed care system. It discusses the market forces underlying the United States’ system for health care financing and delivery and suggests how market forces impact the health care industry. The analysis focuses on societal goals for health care delivery and on managed care’s effectiveness in enabling achievement of those goals. The analysis develops and uses an innovative model developed to summarize the complex interplay among the many stakeholders, or participants, in the health care system. The model provides a framework for analysis of the many relationships among stakeholders. The analysis also highlights current issues in managed care, particularly the barriers that impede collaboration among stakeholders.

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: Health Care Cost Trends 2002 - prescription drug, base and leveraged trend. From Health Section News, January 2002, Issue No. 42.

Description: Using data to develop reserves for Incurred Prior Paid After and Incurred but Unpaid, Issue No. 38

Description: This session discussion is about outside actuarial profession's perspective on health care cost, insurer's role in medical care management, relationships between treatment decisions, available coverage, appropriate use of underwriting and paying for uncompensated care. From Record of Society of Actuaries Vol. 18, No. 1A.