Description: This presentation from Session 100PD of the SOA 1999 San Francisco Annual Meeting is about the evolution of medical underwriting: where we've been, what we've learned, where we are, and where we go from here. The panelists also discuss the role and purpose of underwriting in the individual market, how societal attitudes have changed, and the resulting legislative challenges to industry practices. Specific states with 'innovative' requirements [New York and Florida, for example] and the resulting impact on the health care markets in those states are reviewed. Current topics include proposed limits on HIV testing, genetic testing, issues surrounding privacy and confidentiality, the impact of guaranteed issue, and community rating in the marketplace. From the Record of the Society of Actuaries, Vol. 25, No. 3.

Description: The Health Insurance Portability and Accountability Act affects all exchanges of health information. It has a major impact on health-care management and the distribution of health information used in underwriting and claim management practices for all medical and non-medical lines. Also discussed are changes to Medicare, Children's Health Insurance Program, CHIP, and a proposed prescription drug plan under Medicare. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 24PD of the Dallas Spring Meeting.

Description: In this session, the presenters will discuss (1) results from a recent study of credibility applications in the pricing of group long term disability business, (2) morbidity experience from individual disability business, and (3) lessons can be learned from each line of business.

Description: Legacy health insurance carriers are creating internal cutting-edge advancements through intrapreneurs. In this session, experienced intrapreneurs will discuss their roles within the health insurance industry.

Description: Summary: Panelists give their views on topics including current pricing trends, profitability, current updates, underwriting practices, consolidation in the marketplace, regulatory activities, and the outlook for the future. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 119IF of the Dallas Spring Meeting.

Description: This session discussed health insurance issues such as the taxation of employer health benefits and the calculations of tax health reserves. Canadian medical and disability insurance plans are discussed. Also discussed is transplant coverages. From Record of the Society of Actuaries Vol. 11, No. 1 in San Francisco

Description: One of the Health Section's key focuses in 2019 is Initiative 18/11. Last year the SOA joined forces with the Kaiser Family Foundation (KFF) and the Healthcare Financial Management Association (HFMA) to answer the nagging question: “What can we do about the cost of healthcare?” A steering group has been formed to lead a research project as to what managed care companies can do to reduce costs without sacrificing quality. The project [called Managed Care 3.0 in the 18/11 paper] will examine historical models that have worked as well as investigate the impact that new technologies and care models may have on cost and quality, with the goal of better understanding the current environment and identify­ing potential risks and opportunities.

Description: The prospects for China's health insurance has increased significantly in 2018, incentivized by a series of favorable government policies to support the development of commercial health insurance. However, the market still lacks relatively mature products and services. Overall there is a common understanding in the industry that good coverage plus service is the foundation for health insurance future development, and product innovation plus care management is key for an insurance company to maintain sustainable development in the competition. In this presentation, Dr. Yang will discuss the market trend both at home and abroad with respect to health management as well as its impact on product design, pricing and cost control. With the development of internet and big data, today’s health actuary has a special role in taking advantage of the digital transformation and achieving a high-quality and efficient health care service model.

Description: This session from the 1981 SOA Spring Meeting focused on Disability Income Marketing Approaches for group disability, multiple employer trusts and individual disability. The following factors that influenced the market place were reviewed: high inflation, high unemployment and regulations. From Record of Society of Actuaries, Vol. 7, No. 3.

Description: The always popular Medicaid Hot Topics session is back with discussions from an expert panel on the most riveting Medicaid topics of the year. These could include the following: • Medicaid Fiscal Accountability Proposed Regulations• Tennessee's Block Grant Proposal• ACA court battles: What are the potential impacts on Medicaid? • Pass-through payments are converting to directed payments: What is changing?• And more current topics of interest to Medicaid actuariesMedicaid is dynamic and it is difficult to stay current on all of the changes. This session provides insightful discussion into the major changes that impact actuaries and their companies or state clients.