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: This article contains a condensed summary and excerpt from the fourth white paper in the Commercial Health Care: What’s Next? series.

Description: Presenter describes many of the desirable characteristics of a health care financing system, and alternative health care financing systems as they are found in other parts of the world. The advantages and disadvantages of each alternative system are also discussed. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: Gostin argues that there is indeed a crisis in American health care.

Description: Current Status of managing costs & increasing costs, Future Direction of Consumerism, technology and defined contribution health plans. Issue No. 39.

Description: Article from The Actuary, March 1983, volume no. 17, issue no. 3, that discusses rising health care costs and the challenge it is to actuaries to study the numerous causes and to devise practical means for modifying their effects.

Description: Family members who care for people with dementia need a wide range of support services to help them do the important work of care giving at home.

Description: Essential Health Benefits and Actuarial Value

Description: This article aims to measure the accuracy of official projections.

Description: Discussion of steps that can be taken to control costs and future plan design changes. Part 2 of a 2 part series. Issue No. 48.