Description: Panelists at this session of the SOA 1997 Palm Desert Spring Meeting provide an overview of the business of medicine from both a hospital and a physician viewpoint. Topics include defining the mission, uncompesated care, impact of Medicare/Medicaid, expenses, scheduling and relationships with managed care organizations.

Description: Presented at April 1985 Spring Meeting. This session discussed: Definition of good and sufficient provision for unpaid and actuarial liabilities as used in the NAIC model bill, Actuary and auditor relationships in documentation, reasonableness of results, materiality, margins, and disclosure, Techniques for estimating unpaid claim liabilities, Reverse testing, Considerations regarding incurred date coding in establishing claim reserves, Reserving methodologies for alternative funding products, Reserves for catastrophic claims, Measurement, evaluation, and adjustment for claim department backlogs, changes in claim submission patterns, and environmental changes, etc.

Description: This 1991 panel discussion considers several valuation issues from the point of view of an actuary of an insurance Company, a Blue Cross/Blue Shield Plan, and a Health Maintenance Organization [HMO]. The issues discussed include basic methodology, source of data/coding conventions, extended benefit provision, loss adjustment expense, provider arrangements, employer refund arrangements and cash flow testing. From the Record of the Society of Actuaries Vol. 17, No. 3B.

Description: This session discussion is about tools, techniques, and methods used by the health valuation actuary HVA in dealing with business projections, cash-flow analysis, valuation on nonguaranteed premium business, target surplus analysis, reinsurance and claim reserves. From Record of Society of Actuaries Vol. 18, No. 1A.

Description: This presentation from Session 116PD of the SOA 1996 Orlando Annual Meeting provides an update of the current status of Medicaid reform efforts by the White House and Congress. From the Record of the Society of Actuaries, Vol. 22, No. 3.

Description: This session from the 1995 SOA Boston Meeting presents the results of risk adjuster research in health care assessment and discusses the potential use of risk adjusters in health care reform efforts. From the Record of the Society of Actuaries, Vol. 21, No. 4b.

Description: 1993 SOA Spring Meeting, San Diego. This session is about risk-based capital, NAIC activities, and how Blue Cross/Blue Shield's initiatives intertwine with the model bill on RBC that the NAIC has proposed.

Description: This panel will present the perspectives of state government, federal government, and health maintenance organizations HMOs with respect to Medicaid risk contracting. From the Record of the Society of Actuaries, Vol. 21, No. 4b.