Description: This is a panel discussion about the future of health care and health care insurance. From Transactions of Society of Actuaries 1968, Vol. 20 Pt. 2, No. 58

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.

Description: With the creation of 'qualified' long-term-care plans behind us, companies now have additional information regarding interpretations from the Treasury Department, regulations and directives from insurance departments, and feedback from the consumer. This presentation from Session 128PD of the SOA 1999 San Francisco Annual Meeting looks at what has been learned in the past two years about long-term care insurance and what state and federal regulatory changes may be on the horizon. From the Record of the Society of Actuaries, Vol. 25, No. 3.

Description: This session is about managed-care risk-sharing arrangements. Topics include insurance company and HMO joint ventures, employer arrangements with insurance companies and HMOs, and HMO provider risk contracting. From Record of Society of Actuaries Vol. 19, No. 1B

Description: In this session, panelists present their views on the future of managed care in light of the current environment. From the Record of the Society of Actuaries, Volume 29, No. 2, Session 118

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: 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 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