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: This session summarizes recent trends in behavioral health parity, pros and cons of parity, the impact of mandated benefits on near-term medical costs and methods to effectively manage mental health utilization. From Record of Society of Actuaries, Vol. 30, No. 1, Session 81

Description: This study was sponsored by the Society of Actuaries Health Section. This paper explores the relative significance of aging as a determinant of financial cost of health care beyond age 50, with particular attention to the effect for ages 65 and older. The paper presents concepts of aging factors and aging curves, which define relative values between ages for utilization or cost of health care services. General conclusions are drawn from Medicare data that utilization and cost differ by age, but that aging factors vary across services and may be less significant at very old ages. The author then turns to the question of measuring the significance of an aging curve assumption and what accuracy is lost in the simpler alternative of a single value across an age range.

Description: This article discusses Accountable Care Organizations, how they work, managing risks and their expectations to bend the cost curve.

Description: The SOA’s research objective is to provide guidance to state exchange officials and administrators, federal officials and administrators, and actuaries assisting states and health plans. The goal of the project is to estimate the morbidity and/or cost for newly insured individuals in the individual market (and to some degree, the small group exchange) relative to the morbidity and/or cost for the current commercially insured population. This analysis will primarily focus on the individual, non-group market. In order to plan for the impact that these currently uninsured individuals will have on the health insurance markets, it will be important to understand their costs relative to the costs for people already enrolled, for whom many health insurers have experience and data.

Description: A call for essays issued by the SOA Health and Long Term Care Sections on the visions for the future of the U.S. health care system.

Description: Article summarizes the sessions of the 2011 SOA Health Meeting held in Boston.

Description: This article summarizes a joint SOA/Kaiser Family Foundation initiative focused on addressing the rising cost of health care in the United States.

Description: Employer and payers need to actively seek change in the system of mental health care deliveryoperational, clinical, and financial change. From Financing Chronic Care Monograph, M-HB05-1.

Description: This presentation from Session 8L of the SOA 1996 Colorado Springs Meeting is about analyzing the effectiveness of health care measures as reported by managed care organizations. The discussion focuses on HEDIS, a standardized definition for producing health plan report cards, primarily aimed at health maintenance organizations [HMOs]. From the Record of the Society of Actuaries, Vol. 22, No. 2.