Description: Overview of evolving industry trends and examples of how life insurers in Canada are innovating.

Description: A discussion of fraud and abuse in the Medicare payment system, and steps to address these problems.

Description: A discussion of insurance claims processing and payment systems, and how to achieve the minimum possible number of errors.

Description: This article discusses the pros and cons of high speed electronic transfer of medical data, and the implications this technology may have on health actuaries.

Description: Essay stating Americans need to invent, implement, and evaluate sustainable health care policies, divert cash-flow streams away from projects which feed the beast and focus on projects and policies which enhance value. It will require a combination of thoughtful, coordinated policies and a change in our cultural expectations of infinite resources and unlimited choice.

Description: Essay reforming healthcare where participants have a vested interest in reaching the best answer.

Description: Essay reforming management in health care, structure of reimbursement, program management, health information, measurement systems, etc.

Description: This article discusses what actuaries see as ideal components of a health care reform package with an emphasis on cost control, efficiency, elimination of fraud and reduction of errors.

Description: This session discussion is about claim processing technology. Its artificial intelligence, medical expert systems, optical scanning and electronic claim submission. From Record of the Society of Actuaries Vol. 15, No. 1.

Description: Recent health care reform activity has highlighted the importance of Clinical Integration in improving the quality, safety, efficiency and reimbursement infrastructure of the health care system. This article discusses relevance and implication of regulatory measures, implementation and data issues, and provides an end-to-end example.