Description: Panelists discuss how the provider excess stop-loss reinsurance market is changing, as providers move away from capitation. They look at the current capitation and reinsurance markets, from the actuary's and underwriter's viewpoints. They also discuss the reinsurance pricing considerations. From the 2002 Record of Society of Actuaries, Volume 28, No. 2. Session 41PD of the San Francisco Spring Meeting.

Description: In this session at the SOA 2003 Vancouver Spring Meeting, panelists discuss the issue of the health care uninsured and underinsured. Participants discuss activity at the state level, the federal level, and the work of the American Academy of Actuaries' Work Group.

Description: This presentation from Session 15 of the SOA 2005 Health/Pension Spring Meeting discusses current developments affecting health plan contracting with institutional, professional and ancillary providers. Specific questions addressed are: 1. What are the trends in financial arrangements sought by providers?, 2. Has consolidation changed negotiating strategies?, 3. Has technology affected the types of financial arrangements available?, and 4.How can actuaries assist in the analytical/negotiating process?

Description: There has been a proliferation of proposals to expand access to public health insurance plans, either to strengthen insurance markets under the Affordable Care Act (ACA) or to replace the ACA marketplaces or other health insurance programs altogether. These proposals range from creating a public plan that would operate alongside private plans in the ACA marketplaces, to allowing individuals to buy into Medicare or Medicaid, to expanding Medicare to all. The terms used to describe these various options are often used interchangeably but they would be structured differently and have different impacts depending on the implementation details. Panelists at this session will discuss the general approaches for expanding access to public plans and their potential implications.