Description: This 1978 session focused on regulatory considerations in Group Health Insurance focused on the following questions: 1. What is the impact of National Health Insurance and Federal Hospital Cost Control? 2. What is the impact of non-discrimination legislation and regulation? 3. What is the impact of recent OASDI financing changes and changes in mandatory retirement age? 4. What is the future of multi-employer trusts and self-insurance?

Description: This article discusses the role that actuaries can play in health care mergers and acquisitions.

Description: The author takes exception to criticism from the AMA about hospital discharge guidelines as being set by actuaries when, in fact, they are set by physicians based on actual practice.

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.

Description: This article discusses the effects of economic cycles on the health insurance business.

Description: In this session, an employer representative and broker will discuss their views on the current health care marketplace and cost containment including utilization review, self-funded plans and ASOs. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: This editorial gives an overview of articles in this edition of The Actuary including actuarial exams and health care management issues.

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: This session at the SOA 1989 Chicago Spring Meeting focuses on mental health care, including issues with treatment, managing cost, benefit structures, managed care concepts and utilization review.