Description: This analysis provides an overview of the functional components of the managed care system. It discusses the market forces underlying the United States’ system for health care financing and delivery and suggests how market forces impact the health care industry. The analysis focuses on societal goals for health care delivery and on managed care’s effectiveness in enabling achievement of those goals. The analysis develops and uses an innovative model developed to summarize the complex interplay among the many stakeholders, or participants, in the health care system. The model provides a framework for analysis of the many relationships among stakeholders. The analysis also highlights current issues in managed care, particularly the barriers that impede collaboration among stakeholders.

Description: Presented at October 2000 Annual Meeting. Discusses demographic and economic change, changes in the market, and the direction of the legislative and legal environment for medical and long term care insurance.

Description: This article describes the pre-HIPAA small group market and identify some of the key changes to this market resulting from HIPAA particularly guaranteed issue and renewal and restriction of pre-existing conditions and.

Description: This session is part two of the continuing saga of how to get members of the Health Section more aware of health care public policy and health care public issues. Included are comparisons to Canada, the Kennedy/Waxman bill, employer provided health coverage and other proposed regulations. From Record of Society of Actuaries Vol. 16, No. 1.

Description: At this presentation from Session 72D of the SOA 1996 Colorado Springs Meeting, the panelists debate legislative changes to the Medicare program. Included is an overview of the changes in the 1995 legislation, expected savings in the Federal budget, a debate as to the realism of these expected savings, reaction of enrollees, and a discussion of anticipated effects on the private sector of the healthcare system. From the Record of the Society of Actuaries, Vol. 22, No. 2.

Description: Panelists discuss key public policy issues relating to access, coverage, and financing of health care, as well as current health care reform proposals. From the Record of the Society of Actuaries, Volume 30, No. 1, Session 47

Description: Open meeting of the Society's Health Benefit Systems Practice Advancement Committee and Health Section Council, as well as the American Academy of Actuaries' Health Practice Council. The three committees review ongoing projects in the Health Practice area. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: Panel discussion of national, state, and provincial developments in health care policy and regulation. Presented at the 1975 annual meeting.

Description: The American Academy of Actuaries is engaged in several projects that proactively examine the future status of the Medicare Program. This session presents the findings that have resulted from these efforts. From the Record of the Society of Actuaries, Vol. 24, No. 2.