Description: The SOA analyzed Health Care Cost Institute (HCCI) claims data from 2009 – 2015 to better understand cost and utilization trends in the commercial health insurance market.

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 panel discussion presented at the 1980 SOA Spring Meeting in Minneapolis discussed competition in health care delivery from the perspective of what was happening in Minnesota, a key HMO state. From Record of Society of Actuaries, Vol. 6, No. 2.

Description: Yi-Ling Lin, FSA, MAAA, FCA, started the SOA’s Predictive Analytics Certificate Program to keep pace with the impact big data and predictive modeling is having on the health care industry

Description: Panelists provide an update on recent events in consumer-driven health care, including the regulatory environment, results versus expectations and the implications for the overall group health marketplace. From the Record of the Society of Actuaries, Volume 29, No. 3, Session 62

Description: This session features a moderated discussion between medical professionals who are experts in long-term care. The presenters are outside the LTC insurance industry altogether, which will ensure that attendees receive a truly external perspective.

Description: The editorial shares observations and lessons learned from the process of implementing the Affordable Care Act.

Description: Considerations in the applications of Predictive Modeling for health care management. Issue No. 47.

Description: Since health care reform has made accountable care organizations a hot topic, an SOA workgroup is addressing relevant questions, including provider risk under various ACO models, limitations of the Medicare model for motivating change in the health care delivery system, strategic priorities, attribution of members, meaurement, and the roles actuaries can play.

Description: Medical insurance today is more like pre-paid medical payments. Medical insurance should be bought for protection, but rarely used, like auto insurance.