Description: Describes the three types of HMOs and the progress they are making in lowering medical costs and gaining market share. Also discusses possible future developments with HMOs.

Description: A discussion of the Brazilian Health Industry

Description: This article will consider several issues arising from ACO budgeting and pricing of stoploss coverage, including: 1) attribution of members; 2) claim carve outs; 3) ambiguous stoploss terms; 4) providers gaming the system and 5) credibility of data.

Description: This is the inventory part of the report from the research project that reviewed and inventoried the range of quality and efficiency measures currently available for healthcare. The goal was to outline key areas of quality and efficiency measurement and identify future opportunities for actuaries. The inventory lists the resources and provides brief descriptions of their services with links.

Description: Presented at October 1986 Annual Meeting. Discussion covers: how hospitals and hospital management companies are increasingly entering traditional indemnity insurance markets, hospital representatives address health care financing from the hospital perspective, the risks and financial incentives from the hospital's perspective, and whether hospitals are marginally pricing their health insurance products.

Description: An interview with a health insurance expatriate actuary working in Brazil, discussing his experiences and the health insurance market in Brazil

Description: Taxes and Fees Introduced by the ACA

Description: A compilation of feedback from actuaries in the Health Section of the affects of the ACA.

Description: This article summarizes the presentations by the Society of Actuaries and the Academy of Actuaries at the January 2015 National Academy of Social Insurance (NASI) Roundtables in Washington DC. SOA presented on the 2014 SOA monograph series "The Link between Retirement Security and Long-Term Care."

Description: Medical and industry experts discuss Acquired Immune Deficiency Syndrome [AIDS], epidemiological projections, mortality and morbidity trends, underwriting practices, solvency and regulatory issues, future outlook, and activities of the Society of Actuaries Task Force on AIDS. From the 1987 Record of Society of Actuaries, Vol. 13, No. 4A.