Description: This session discusses the impact of rising costs and increased litigation on managed care. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 133

Description: This session discussion is about multiple employer truest issues, initial underwriting, renewal underwriting, claim control and reserving methods. From Record of the Society of Actuaries Vol. 15, No. 1.

Description: Panelists at this session of the SOA 1997 Palm Desert Spring Meeting give an update on legislative activity with respect to Medical Savings Accoutns [MSA], the MSA marketplace, and an overview of two mongraphs on the subject sponsored by the American Academy of Actuaries.

Description: This presentation from Session 5PD of the SOA 1999 San Francisco Annual Meeting discusses the types of problems that arise when providers own their own health plan. As an example, it describes the birth pains and subsequent growing pains of SureCare. From the Record of the Society of Actuaries, Vol. 25, No. 3.

Description: Panelists discuss the tools available for coping with increases in rates for managed-care health insurance, such as: improved information on specific providers [relative costs, charges, and efficiency], analysis of the value of managed-care administrative fees, The Leapfrog Group, other data-quality initiatives, and plan-design changes. From the 2002 Record of Society of Actuaries, Volume 28, No. 3. Session 149OF of the Boston Annual Meeting.

Description: Before the proliferation of HMOs, multiple options and flexible benefit programs, there were fairly standard underwriting rules regarding participation and benefit design. These rules no longer can be applied. This session discusses the underwriting effects of HMO penetration, high/low options, working spouses, new dependent coverage rules, and renewals. It includes a discussion on cost containment, AIDS, cost shifting and mental health / substance abuse. From Record of the Society of Actuaries 1988 Vol. 14, No. 1.

Description: Discusses what the prevalent form of health-care financing will be in the future: Health Maintenance Organizations [HMOs], Preferred Provider Organizations [PPOs], Managed Care fee-for-service insurance contracts [Managed Care], and Triple-Option products. From the 1987 Record of Society of Actuaries, Vol. 13, No. 1.

Description: This session from the 1983 SOA Hollywood, Florida Meeting discusses group health insurance including the development of underwriting and cost strategies, companies getting out of the group business, limiting the risks such as inflation and high interest rates, marketing strategies and the use of group reinsurance. From Record of Society of Actuaries Vol. 9, No. 4.

Description: This session from the 1983 SOA Hollywood, Florida Meeting discusses the small to medium size group market including group sizes, the recent financial experience, trends in group rating systems, funding provisions and product design and the short and long term outlook for this market. From Record of Society of Actuaries, Vol. 9, No. 4.

Description: This 1991 panel discussion is about mid-size and large group medical issues, including: 1. Managing the underwriting cycle, 2. Effectively managing the risk, 3. Controlling medical costs, 4. Financial arrangements offered to control or shift risk [i.e., Administrative Services Only [ASO] and minimum premium contracts], and 5. The effect of the Resource-Based Relative Value Schedule [RBRVS] on provider fees and plan costs. From the Record of the Society of Actuaries Vol. 17, No. 4A.