Description: Presented at May 2000 Spring Meeting. Addresses election year issues affecting the U.S. health care financing system. What visions do the leading presidential contenders have regarding health care in the U.S.? What are the common factors and unique features of each proposal?

Description: This discussion looks at the causes of the increase of costs in medical care and what can be done to keep these costs under control. Form Transactions of Society of Actuaries 1959, Vol. 11, No. 30 AB.

Description: Presented at May 2000 Spring Meeting. Some companies are planning to increase sales and lower expenses by packaging the sale of long-term-care coverage with complementary products. Life and annuity combinations, market positioning, product features and product development issues are discussed.

Description: Presented at May 2000 Spring Meeting. Many long-term-care insurers are outsourcing administrative functions to management organizations. The panelists discuss the reasons for this outsourcing, the functions that can be outsourced, financial incentives for vendors, criteria for selecting a vendor, monitoring performance and other aspects of the business relationship.

Description: This session provides an exploration of the asset side as presenters discuss appropriate investment policies for LTC and asset/liability matching. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 116

Description: This presentation from Session 86PD of the SOA 1996 Orlando Annual Meeting provides the physician perspective on ethical questions resulting from utilization review decisions infringing on physician decisions in providing health care. From the Record of the Society of Actuaries, Vol. 22, No. 3.

Description: Panelists discuss issues arising from the Health Insurance Portability and Accountability Act of 1996. From the Record of the Society of Actuaries, Vol. 24, No. 1.

Description: This session discussion is about methods of managing care, what methods have been most effective, experience to date under managed care products, are savings being generated, employer acceptance of managed care products, provider acceptance of managed care products, what will future managed care programs look like. Includes a discussion on utilization review and management, From Record of the Society of Actuaries 1988 Vol. 14, No. 1.

Description: Presented at April 1986 Spring Meeting. Defines programs related to providing long-term care for the aging population through Life Care Societies 'LCS', nursing care products, Continuing Care Retirement Communities, etc. and actuarial considerations related to LCS in establishing funding requirements and evaluating liabilities.

Description: This session will explore the national landscape of state Medicaid risk adjustment program design & application and the key differences that drive effective managed care organization program management. Risk adjustment is a mechanism to adjust capitation rates between Managed Care Organizations to account for population morbidity differences. Although many states utilize this mechanism, the application of risk adjustment can vary significantly across states. The primary differences include populations, risk score models and data collection. These state application nuances affect the strategies and tactics utilized by MCOs for effective risk adjustment program management including provider financial alignment, encounter data submission and the capture of accurate diagnosis codes. The session is intended for Medicaid Managed Care Actuaries working to develop or support comprehensive risk adjustment program management functions.