Description: The measure of a health-care provider's quality and efficiency can be used to reward or penalize the provider through reimbursement strategies and plan designs. Panelists discuss the measures that are becoming available. From the 2002 Record of Society of Actuaries, Volume 28, No. 2. Session 24PD of the San Francisco Spring Meeting.

Description: This is a panel discussion session on the purpose, rationale and conclusions of the Committee for Accident and Health Valuation Principles. Discussion also covers the comments received and any modifications to their original draft report.

Description: Experts discuss new strategies related to provider contracting and network management. Topics include various reimbursement approaches and risk-sharing arrangements, unique risk arrangements for certain provider specialties, unique risk managements for specific diseases, and the role of care management/care coordinators. From the 2002 Record of Society of Actuaries, Volume 28, No. 2. Session 59PD of the San Francisco Spring Meeting.

Description: Panelists discuss the various managed-care alternatives as well as ways to evaluate their effectiveness. From the 1988 Record of Society of Actuaries, Vol. 14, No. 4A.

Description: This session discusses what is happening outside of CDHP with respect to plan & benefit trends/designs, underwriting & operational issues, and executive management report packages [dashboard reports]. From Record of Society of Actuaries, Vol. 30, No. 1, Session 77

Description: This session is from the 1976 Society of Actuaries Annual Meeting in Toronto in October. The presenters cover the following Group Insurance topics: Survivor Income Group Life Insurance, Long Term Disability Insurance, Dental Insurance, Health Insurance, and new products and development.

Description: Discusses health-care-cost reimbursement structures, from the facility/hospital perspective and the professional/doctor perspective. Also discusses risk-absorption methods. From the 1987 Record of Society of Actuaries, Vol. 13, No. 1.

Description: This presentation is a panel discussion, session 54PD, from the 2004 Spring Meeting of the Society of Actuaries, held June 14-15 in San Antonio, TX. This session covers the impact of segmentation and underwriting on expected mortality and morbidity. Panelists discuss the importance of data mining and customer selection on ultimate experience, setting up direct marketing applications with the right type of questions to maximize responses but limit risk, the use of prescription drugs and other databases, and industry practices for obtaining customer information. Discussion from participants is included. From the Record of Society of Actuaries, Volume 30, No. 2.

Description: Panelists discuss consumer-driven health plans [CDHPs]. Topics include pricing, large employer perspectives, and the overall impact on the marketplace. From Record of Society of Actuaries, Vol. 30, No. 1, Session 95

Description: Presented at June 1996 Spring Meeting. This discussion looks at redirecting the traditional role of the actuary into new areas such as working with doctors to deal with medical management issues, dealing and negotiating with providers and how to help the company develop a provider payment strategy. Employers negotiating directly with providers is also discussed.