Description: This article provides an overview of critical illness insurance: history, product description, and the three primary ways to offer critical illness coverage in the United States. This article also contains an illustration of an issue age premium rate calculation, as well as product features and rating applications specific to the various types of critical illness coverage.

Description: The always popular Medicaid Hot Topics session is back with discussions from an expert panel on the most riveting Medicaid topics of the year. These could include the following: • Medicaid Fiscal Accountability Proposed Regulations• Tennessee's Block Grant Proposal• ACA court battles: What are the potential impacts on Medicaid? • Pass-through payments are converting to directed payments: What is changing?• And more current topics of interest to Medicaid actuariesMedicaid is dynamic and it is difficult to stay current on all of the changes. This session provides insightful discussion into the major changes that impact actuaries and their companies or state clients.

Description: WeChat is gradually becoming the main force of insurance online marketing for insurance products in China.

Description: Joe Wurzburger, Staff Fellow at the SOA, shares his views and insights about the health care industry in general and the Health Section's role in particular.

Description: Joe Wurzburger, Staff Fellow at the SOA, shares his views and insights about the health care industry in general and the Health Section's role in particular.

Description: Joe Wurzburger, Staff Fellow at the SOA, shares his views and insights about the health care industry in general and the Health Section's role in particular.

Description: Health Watch, Issue 79, December 2015, Health Watch

Description: A research report that first defines ERM and provides the results of an applicable literature search with hyperlinks and then describes the current state of Enterprise Risk Management practices for health organizations. Areas covered: 1. Operational Risks. 2. Balance sheet risks. 3. Pricing discipline. 4. Asset risks. 5. Learnings. 6. Emerging risks.

Description: Essay discussing cost, quality and access of healthcare and then describes the need for rationing.

Description: A call for essays issued by the SOA Health and Long Term Care Sections on the visions for the future of the U.S. health care system.

Description: New technologies have created alternative treatments to improve vision and hearing. What are these technologies and their cost? Can these procedures be insured? What is the cost impact if covered? From the Record of the Society of Actuaries, Vol. 31, No. 2, Session 86

Description: Panelists discuss consumer-directed health plans [CDHPs], describing: [1] plan design, how they work, and pricing considerations, [2] various reserving issues, and [3] the current and future marketplace for the products. Session 43PD of the 2005 Valuation Actuary Symposium.

Description: Panelists discuss recent acquisitions and mergers from a variety of perspectives. From the Record of the Society of Actuaries, Vol. 30, No. 3, Session 90

Description: Paper on the number and growth of the uninsured and underinsured in health insurance. Reviews literature on the following items trends in the number of uninsured, state policy activities, disparities in access, health care access and the health care safety net.

Description: Panelists discuss the contractual relationships between health-care providers and health-care insurers [payers], and how they can be improved. Discussed are managed care, HMO, and PPO types of negotiated contracts in the private arena. Recent trends in types of provider arrangements, and expectations for the future, are also discussed. From the 2002 Record of Society of Actuaries, Volume 28, No. 3. Session 97PD of the Boston Annual Meeting.

Description: This article discusses health care reform in Kentucky. In 1994, Kentucky implemented health care reform measures inspired by the unsuccessful attempt at national health care reform in the Health Security Act of 1993. The measures adopted in Kentucky are described by the author as 'a textbook case of how not to engage in health care reform.' From: The Actuary, April 2000 – volume 34 - Issue 4.

Description: Panelists discuss various managed care strategies and their experiences with how well these strategies have been implemented in the individual and small group market. From the Record of the Society of Actuaries, Vol. 25, No. 2.

Description: This article explores the trend in mergers and acquisitions among health insurance providers including the rationale for the recent increase in activity.

Description: Panelists at this session of the SOA 1997 Palm Desert Spring Meeting present various physician incentive programs, including withholds, bonuses, capitation, and other risk-sharing concepts. Implications and effectiveness of each type of program and appropriate situations for applying each program are discussed.

Description: At this presentation from Session 6PD of the SOA 1996 Colorado Springs Meeting, the panelists discuss the role of the valuation actuary in health insurance. The focus of the session is scenario testing in health insurance and how this is a tool in assessing the risks of the company. Statutory minimums and statements of opinion are discussed. From the Record of the Society of Actuaries, Vol. 22, No. 2.

Description: This paper examines the financial dynamics resulting from the currency exchange rate for medical insurance products that are denominated in a currency different from that in which covered medical expenses are incurred. From Transactions of Society of Actuaries 1995, Vol. 47.

Description: This panel will discuss the current status of NAIC activities with respect to risk-based capital RBC. The potential impact on financial reporting with respect to health products, specifically, indemnity, HMO, disability, and nontraditional products will also be discussed. From the Record of the Society of Actuaries, Vol.21, No. 4a.

Description: Panelists at this session of the SOA 1995 Vancouver Spring Meeting debate the pros and cons of Medical Savings Accounts [MSA]. Viewpoints on the effectiveness of MSAs, expected changes in medical consumer behavior, anticipated cost savings, and other topics are discussed.

Description: This session from the 1995 SOA Vancouver Meeting reviews capitation arrangements in health insurance, the reasons for capitating providers, capitation formulas, cost reduction strategies and the role of the actuary in evaluating experience for capitation. From the Record of the Society of Actuaries, Vol. 21, No. 3a.

Description: This session from the 1994 Valuation Actuary Symposium covers financial projections of health coverage including the distinction between short-term and long-term projections and and overview of the handbook entitled The Dynamic Financial Condition Analysis Handbook which focuses on dynamic solvency projections.

Description: This session from the 1994 Valuation Actuary Symposium covers long term care and health related issues for valuation, an update from the Risk-Based Capital Task Force of the Academy on developing a risk-based capital formula for health coverages, an overview of the health practice notes.

Description: This session will discuss the role of actuaries under national health insurance, role of the Canadian health actuaries under that national program and how actuaries can shape the health-care environment in the U.S.. From Record of Society of Actuaries Vol. 18, No. 4B.

Description: This 1991 panel discussion is about mid-size and large group medical issues, including: 1. Managing the underwriting cycle, 2. Effectively managing the risk, 3. Controlling medical costs, 4. Financial arrangements offered to control or shift risk [i.e., Administrative Services Only [ASO] and minimum premium contracts], and 5. The effect of the Resource-Based Relative Value Schedule [RBRVS] on provider fees and plan costs. From the Record of the Society of Actuaries Vol. 17, No. 4A.

Description: At this presentation, the panelists address the following questions: 1. How is health insurance risk measured? 2. How and why do surplus requirements differ between health insurance and life insurance? 3. How and why do surplus requirements differ among health insurers [e.g., Commercial, Blue Cross, HMO] and among health insurance products? 3. What are some of the current techniques being used by health insurers for determining target or required surplus and for managing surplus? 4. How do the rating agencies view surplus requirements for health insurers? From the Record of the Society of Actuaries Vol. 17, No. 3A.

Description: Session 5 of the 1990 Valuation Actuary Symposium is an open forum on the long term health insurance risks. Also discussed is major medical and disability insurances.

Description: This session at the SOA 1990 Dallas Spring Meeting discusses the design and implementation of employee benefits from the viewpoints of a consultant, a corporate client, an insurance company, and also from a collective bargaining perspective.

Description: This session discussion is about plan design, pricing considerations, actual emerging experience, underwriting considerations, employee acceptance, success in meeting employers' objectives and Section 89 considerations. From Record of the Society of Actuaries Vol. 15, No. 1.

Description: This session from the 1984 SOA Salt Lake City Meeting discusses trends in group medical product design including cost sharing and cost containment features, underwriting considerations, rating considerations and monitoring and evaluating effectiveness. Record of the Society of Actuaries Vol. 10, No. 2

Description: This session from the 1984 SOA Atlanta Meeting covers the issues in the individual medical insurance market - escalating costs, utilization rates and anti-select lapsation, the potential solutions and the challenges facing the actuary.

Description: This panel discussion addressed the impact of inflation on Group Insurance. Discussion focused on pricing techniques, plan design issues and surplus levels.

Description: This panel discussion addressed the impact of inflation on Group Insurance. Discussion focused on pricing techniques, plan design issues and reserving methods.

Description: This is a discussion about long-range plans being used as management tools in the life insurance business. Also discussed are the implications that Medicaid will have on the private health insurance business. From Transactions of Society of Actuaries 1966, Vol. 18 Pt. 2, No. 51.

Description: This is a discussion about the problem of overinsurance arising from duplication of coverage. From Transactions of Society of Actuaries 1963, Vol. 15 Pt. 2