Description: Panel discusses trends in large health claims, recent experience, and future expectations, as well as the impact of managed care on large individual health claims under self-insured programs and under an HMO setting. From the Record of the Society of Actuaries, Vol. 25, No. 2.

Description: Panelists discuss the following managed care topics: · Design issues/pros and cons e.g., self-directed health-care model · Provider reimbursement methodologies · Consumer and regulatory issues · Insurance and reinsurance pricing and underwriting issues · Catastrophic claims · Risk-based capital repercussions · Defined contribution health plans From the Record of the Society of Actuaries, Volume 27, No. 1, Session 61

Description: Presented at October 2001 Annual Meeting. Discusses three key factors related to catastrophic health care events: • Trends in health care delivery and medical technology that are likely to impact catastrophic care costs • Methods of cost and risk control through early identification and specialized medical management • Modeling the cost of catastrophic events on health insurance programs

Description: This discussion at the SOA 1997 Palm Desert Spring Meeting looks at issues related to second-hand smoke including the negative health effects and underwriting implications.

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

Description: This session is about health risk adjusters and includes a discussion on risk assessment, actuarial applications, New York small-group reform, medical management applications, Rand 36, and other methods. From Record of Society of Actuaries Vol. 19, No. 4B.

Description: This session at the SOA 1990 San Francisco Spring Meeting focuses on AIDS including an update on the epidemic and discussion about the actuarial implication of four case studies.

Description: This 1981 session dealt with Risk Classification for Individual Health Insurance. Topics included current legislative/regulatory trends and their impact on pricing and plan design, high risk-sharing pools, and deomographic considerations. From Record of Society of Actuaries 1981 Vol. 7, No. 2.

Description: Medical and industry experts discuss Acquired Immune Deficiency Syndrome [AIDS], epidemiological projections, mortality and morbidity trends, underwriting practices, solvency and regulatory issues, future outlook, and activities of the Society of Actuaries Task Force on AIDS. From the 1987 Record of Society of Actuaries, Vol. 13, No. 4A.

Description: This session is about managed-care risk-sharing arrangements. Topics include insurance company and HMO joint ventures, employer arrangements with insurance companies and HMOs, and HMO provider risk contracting. From Record of Society of Actuaries Vol. 19, No. 1B