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 session is about structuring an HMO, rating, financing & solvency and underwriting. From Record of Society of Actuaries 1979 Vol. 5, No. 4.

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 paper presents population hospital utilization data concerning the proportion of total hospital days that is due to injury and the proportion of total hospital days that is spent in intensive care units for use in obtaining reserve factors. The paper also presents continuation data for hospitalizations. From Transactions of Society of Actuaries 1979, Vol. 31.

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

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: 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 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.