Description: Panelists discuss new developments and strategies related to provider and network management and contracting. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 58PD of the Dallas Spring Meeting.

Description: This discussion on group coverage covers contingency reserves, pool assessments related to war risks, interest assumptions for group annuities, annual statement handling of group deposit administration business, disability provisions of pension plans, and conversion to individual policies upon termination from a group plan.

Description: 1990 Valuation Actuary Symposium Proceedings that is a panel discussion on AIDS and the valuation actuary. In addition, the panel will discuss the cost of treating HIV infection at Empire Blue Cross and Blue Shield.

Description: In session 120 PD of the Las Vegas Spring Meeting panelists discuss new developments and strategies related to provider contracting. What changes in the risk-sharing arrangements are occurring? What contracting methodologies have been successful and what ones have not? From Record of Society of Actuaries, Volume 26, No. 1.

Description: This session 62 PD of the Las Vegas Spring Meeting focuses on provider excess reinsurance, which is an excess of loss coverage for providers assuming risk under various forms of managed care arrangements, such as HMOs, PPOs, and Medicare/Medicaid. From Record of Society of Actuaries, Volume 26, No. 3.

Description: This document records the discussion on the possibility of a life insurance company entering the accident and sickness field, sources for morbidity experience for rate making, methods for determining total claim reserve and to what extent are medical expense items are insurable.

Description: This session 110IF of the Las Vegas Spring Meeting updates the changes in the health insurance industry due to recent mergers, acquisitions, and demutualizations. What has the impact of this consolidation been on health products? What is the outlook for continued future consolidations in the health insurance industry? From Record of Society of Actuaries, Volume 26, No 1.

Description: This presentation presents formulas for the first two raw moments and the first joint moment of the aggregate risk process for medical malpractice insurance.

Description: In this discussion, experts in specific areas reported on recent and current happenings in their field. These include HMOs and manged care, Congressional legislation initiatives, disability insurance and mergers and acquisitions within the health providers/insurers. From Record of Society of Actuaries, Vol. 22, No. 2.

Description: Many new and innovative companies are leveraging technology to improve the effectiveness of the care provided to patients. They are employing better tools to identify patients who can benefit from specific programs that best meet the patient's need. They are also dramatically increasing the use of these programs by guiding plan members through the maze of offerings to match them with the programs that will be most beneficial to them. Employers are making these third party programs available to their members and Medicare Plans are using these new tools to identify emerging health risks for early intervention and more accurate risk scoring. This session will explore some examples of these programs, how they are being effectively integrated into the operations of health plans and how the results of these programs are being measured.The speakers will be:Raj Behal, MD, MPH,Chief Quality Officer, One Medical. Raj leads the quality and safety, value and innovation, and data science teams at One Medical. One Medical is changing the way primary care is delivered with a concierge approach with technology seamlessly woven into their offering. This includes booking appointments on line, virtual face to face care, accessible medical records and health reminders.Mylea Charval,Ph.D., CEO and Founder, Savonix. Savonix is a next generation cognitive assessment platform that brings clinical, evidence-based, and all mobile digital assessment of cognitive and emotional function. These capabilities are critical for early identification of the onset of dementia and for the proper risk assessment of seniors enrolled in Medicare Advantage Plans.Ed Cymerys, FSA, Advisor. Ed will serve as moderator. Over the last six years Ed has served as an advisor to a number of early stage technology companies looking to improve the way health benefits are being delivered.Dave Sotelo, FSA, MAAA, Actuarial Manager, Collective Health, Inc. Collective Health is an integrated solution that allows self-funded employers to administer their health plans, control costs, and take care of their people -- all in one place. They have effectively integrated more than 70 distinct third party solutions for self-funded employers and are rigorously assessing the impact of these programs