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: A panel of experts discusses the effect of malpractice costs on health care delivery and health insurance, and potential solutions to reducing the costs of malpractice, including research on limiting human error and possible litigation reforms. From the Record of the Society of Actuaries, Volume 29, No. 3, Session 118

Description: This session discussion is about AIDS for health actuaries, contract limits, underwriting practices, regulations on underwriting, claim reserving, recent experience and future outlook. From Record of the Society of Actuaries Vol. 15, No. 1.

Description: This session discussion is about the profitability outlook, both long and short term, for various health coverage related products such as: HMOs,, Small group insurance TPAs and ASO, Individual medical, and Individual disability income. From Record of the Society of Actuaries Vol. 14, No. 4A.

Description: Article Health Insurance in The Actuary, June 1979, Volume 13, Number 6