Description: This 1991 panel discussion is about PPOs- what they are, how they fit into the current managed care environment, how they fit into different markets, what products they compete against, their effectiveness at controlling medical costs, their effectiveness at meeting employer needs, and what to expect in the future. From the Record of the Society of Actuaries Vol. 17, No. 3B.

Description: This is a transcript of a 1982 meeting of the Health Section. Includes presentation and discussion of three papers: a. Cumulative Anti-selection Theory by William F. Bluhm b. Regulatory Monitoring of Individual Health Insurance Policy Experience by John B. Cummings c. Medical Care and Services in Canada by Frank G. Reynolds From Record Vol. 8, No. 4

Description: In light of nonprofit health insuring organizations converting from nonprofit to for profit status and with the flurry of health maintenance organization M&A activity, this session at the SOA 1997 Palm Desert Spring Meeting addresses actuarial techniques used to measure 'value' and the issues surrounding such valuation.

Description: Discussion of various alternatives for financing health care.: It discussed providers,the uninsured employers of uninsured workers, employers through taxes , assessment on health insurance and general revenues.

Description: Presented at April 1986 Spring Meeting. This session discussion is about the techniques for understanding and analyzing trends in medical care, including: utilization and cost components, analysis of cyclical behavior, use of econometric models, and aggregate trend vs. employer-specific needs.

Description: This session will cover the definition of a risk-taking health entity, the kinds of risk and ways to measure it. Included is an update from the Risk-based Capital Task Force. From Record of Society of Actuaries Vol. 20, No. 3B.

Description: At this 1992 panel discussion, the panelists, including Congressman Dan Rostenkowski, Chairman of the House Ways & Means Committee, discuss health care and comment on some of the health care proposals that are currently on the table, including the Administration's plan for overhauling the health care system. From the Record of the Society of Actuaries Vol. 18, No. 1A.

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 panel discussion session examines the marketing and pricing considerations of group insurance in the 1980's.

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.