Description: Discussion of direct primary care and how it helps with several challenges in health care today. DPC improves care coordination, improves outcomes, improves doctor and patient satisfaction, and reduces spending. DPC successes promote the view that primary care should not be covered by insurance; rather, it should be paid for directly.

Description: Discusses variability in per capita health-care costs by health-care provider.

Description: An update on HMO market trends and reinsurance products, and services supporting them.

Description: This session is about rationing health care. From Record of Society of Actuaries Vol. 18, No. 4A.

Description: As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical data. That information is captured while patients are in health care facilities. Yet most people spend only a small fraction of their time in these facilities. This article explores what types of data are available to actuaries the provide a more holistic view of the member so that a members physical and emotional needs, the social determinants of health can be taken into consideration along with their clinical needs. Two uses cases are presented so actuaries can see how these types of analyses can be leveraged to improve clinical, operational, and financial performance of risk bearing health entities. Understanding the customer (member) not just the patient enables actuaries to provide new insights and values to our stakeholders across a wide range of business and risk applications.

Description: In this session at the SOA 1997 Palm Desert Spring Meeting, panelists discuss how managed care dental programs work, the actuarial issues, quality issues, and the perspective of the dentist.

Description: Methods and assumptions used in the valuation of savings by external care vendors

Description: Social Insurance & Public Finance Section council members provide a recap of sessions from the 2021 SOA Health Meeting, with a focus on sessions covering Medicare, Medicaid, the ACA, and public policy. The authors include a description of SIPF Section-sponsored sections, including a session on the ACA and a session on CMS's Direct Contracting Model.

Description: Provides an overview of a Columbia University graduate course in actuarial science called a Global Perspective of the Health Insurance Market. It includes an overview of this unique course and a summary of course content and completed research in the course. The course covers all financial aspects of US and international health insurance.