Description: This session discusses the impact of rising costs and increased litigation on managed care. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 133

Description: This discussion is on the availability of utilization and cost experience data for group medical care insurance coverages. Specifically, it highlights the role of the Society of Actuaries in intercompany data collection, employer demands for sophisticated utilization data for comparison by industry and geographic location, sources of industry-wide data, data resource potential of health claims processing by the National Electronic Information Corporation, and antitrust implications. From Record of the Society of Actuaries 1981, Volume 7, No. 4.

Description: Panelists discuss the results of three research projects funded by the Actuarial Education and Research Fund [AERF] and other sources. They look at HMO and managed-competition health-care plans, offered primarily to Minnesota state employees, to examine the risk of premium death spirals. From the 2002 Record of Society of Actuaries, Volume 28, No. 3. Session 98PP of the Boston Annual Meeting.

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 panel at the SOA 1998 New York Annual Meeting discusses the history of HMOs with respect to actuarial support and looks at how actuaries can and should be involved in supporting HMOs.

Description: Panelists at this session of the SOA 1998 Maui II Spring Meeting discuss the purpose and expectations for medical savings accounts [MSA] at the time the Health Insurance Portability and Accountability Act was enacted, and whether these expectations have been achieved.

Description: Presented at October 2001 Annual Meeting. Topics covered in this session include Internet-based health plan exchanges, defined-contribution health plans, self-directed health plans, personal spending accounts, and episodic based reimbursement to insureds.

Description: This 1992 panel discussion is about regulations proposed or adopted by the NAIC, the Health Insurance Association of America [HIAA], and states to regulate small group underwriting and rate guidelines. From the Record of the Society of Actuaries Vol. 18, No. 1A.

Description: Panelists at this session of the SOA 1995 Vancouver Spring Meeting debate the pros and cons of Medical Savings Accounts [MSA]. Viewpoints on the effectiveness of MSAs, expected changes in medical consumer behavior, anticipated cost savings, and other topics are discussed.

Description: This 1978 panel discussed risk classification systems for a variety of products. Topics covered included: 1. regulatory and social policy encroachment on risk classification systems 2. possible changes in underwriting/marketing strategy because of changed regulatory requirements 3. use of the social imperative via regulation or legislation to mandate availability of coverage to high risk classifications 4. implied use of the risk classification system to provide incentives to control socially undesirable behavior 5. potential use of private mass coverage to minimize the impact on risk classification systems for coverages mandated by law or social policy 6. the ultimate in risk classification systems: self-insurance