Description: In session 120 PD of the Las Vegas Spring Meeting panelists discuss new developments and strategies related to provider contracting. What changes in the risk-sharing arrangements are occurring? What contracting methodologies have been successful and what ones have not? From Record of Society of Actuaries, Volume 26, No. 1.

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: Participants discuss what steps can be taken to anticipate and mitigate the effect of the recession on health insurance costs. Those attending this session gain an understanding of the factors, including current economic conditions driving the pricing and design of health insurance products. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 78of.

Description: This article presents the concept of comprehensive care management as a fundamentally different way to reform health care and reduce costs. There are 3 components - demand management, utilization management and disease management.

Description: Presented at June 1996 Spring Meeting. This discussion looks at how a managed care plan can know whether it is doing a good job on utilization review, if there is room for further reduction in utilization, and how a plan should prevent under-utilization.

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