Description: Panelists at this session of the SOA 1998 Maui II Spring Meeting offer several approaches to creative provider reimbursement where a single capitation and fee schedule was not the best solution.

Description: Discusses what the prevalent form of health-care financing will be in the future: Health Maintenance Organizations [HMOs], Preferred Provider Organizations [PPOs], Managed Care fee-for-service insurance contracts [Managed Care], and Triple-Option products. From the 1987 Record of Society of Actuaries, Vol. 13, No. 1.

Description: This panel discussion session focuses on national health insurance in Great Britain and Canada. Discussion items include plan features and costs, impact on providers from health care provided outside the national plan, inclusion of private health insurance and prepayment systems. Vol. 5 No. 4

Description: This session is about group dental coverage, issues in benefit design, managed care [dental HMO & PPO] and market trends. From Record of Society of Actuaries Vol. 19, No. 1B.

Description: Presented at June 1996 Spring Meeting. This discussion looks at how a managed care plan can know whether it is doing a good job on utilization review, if there is room for further reduction in utilization, and how a plan should prevent under-utilization.

Description: 1994 SOA Meeting, San Antonio. This session was about provider network building in nonmetropolitan areas. Question addressed: 1. How can an effective delivery system be built to serve rural areas? 2. What influence will health care reform have on such systems? 3. Does a single-payer system make sense for such populations? 4. How does health care reform impact nonmetropolitan markets?

Description: The measure of a health-care provider's quality and efficiency can be used to reward or penalize the provider through reimbursement strategies and plan designs. Panelists discuss the measures that are becoming available. From the 2002 Record of Society of Actuaries, Volume 28, No. 2. Session 24PD of the San Francisco Spring Meeting.

Description: More and more providers are desiring risk-based contracts instead of traditional FFS-based contracts. This session is intended to outline some of the actuarial best practices in risk-based contracting related to the many flavors of the CMS ACO programs, as well as Commercial risk-based contracts.

Description: This session is about purchasing group health, distinctions between health alliances and health insurance purchasing cooperatives, and role in administration's proposal. It also covers proposed health care reform. From Record of Society of Actuaries Vol. 19, No. 4A.

Description: 1994 SOA Meeting, San Antonio. This session on physician reimbursements focused on arrangements that might be offered by managed care companies, such as HMOs. It included an overview of key definitions, concepts, and incentive compensation arrangements.