Description: Presented at April 1985 Spring Meeting. This session discussed: Selective underwriting standards, Renewable options, Producer controls, Compliance with state laws and regulations, Control and profitability.

Description: This article provides a detailed description of the unbalanced subsidy provisions in the Affordable Care Act with easy to follow numerical illustrations. An understanding of the illustrative calculations is necessary to understand the subsidy implications. The article highlights some surprising and likely unintended results that will be interest to issuers, employers, consumers, regulators and policymakers. Actuaries can add expertise to their clients and to the public discussion with a proper understanding of the subsidy calculations and the resulting implications.

Description: This panel discussion session focuses on developments in health insurance minimum loss ratio regulation including the NAIC Minimum Loss Ratio guidelines, loss ratios as a regulatory tool, and state regulatory actions. From Record of Society of Actuaries 1981, Vol. 7, No. 1.

Description: Presented at October 1986 Annual Meeting. This session discussion is about life & health products, media selection, acquisition expenses and analysis of efforts.

Description: This panel at the SOA 1998 New York Annual Meeting discusses the history of HMOs with respect to actuarial support and looks at how actuaries can and should be involved in supporting HMOs.

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 presentation from Session 71PD of the SOA 1996 Colorado Springs Meeting discusses demutalization, mergers of health maintenance organizations [HMOs], and conversion from nonprofit to for-profit. It also addresses the question: How does an actuary value HMOs? From the Record of the Society of Actuaries, Vol. 22, No. 2.

Description: This purpose of this session is to discuss strategies used by health insuring organizations and their likelihood for success. Topics include alternate delivery systems and managed care. From Record of the Society of Actuaries 1988 Vol. 14, No. 1.

Description: This 1991 panel discussion is about medical claims management and keeping up with changes in technology. The panelists discuss the use of artificial intelligence in claims processing, 'intelligent' coverage cards, and code gaming problems. From the Record of the Society of Actuaries Vol. 17, No. 4B.

Description: This session discusses HMOs: do they manage health better, do provider financial incentives reduce quality, do HMOs profit from shadow pricing, and do they attract better risk. From Record of Society of Actuaries Vol. 16, No. 1.