Description: This paper provides an outline of the pricing methodology used by Blue Cross and Blue Shield of Virginia which incorporates trend analysis by trend component. From Actuarial Research Clearing House 1993, VOL. 3.

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.