An Actuarial Analysis of a Prospective Experience Rating Approach for Group Hospital Surgical Medical Coverage [Discussion]

Mr. McLean's comprehensive paper entitled "An Actuarial Analysis of a Prospective Experience Rating Approach for Group Hospital-Surgical-Medical Coverage" outlines briefly the history of experience rating of these coverages, and follows with a rather complete description of the experience rating plan now in effect in his Blue Cross Plan. As a fairly recent convert to Blue Cross, I am not in a position to criticize either his history or his rating plan. The Plan which I represent adopted, effective August 1, 1960, a merit rating program which is substantially different from Mr. McLean's plan. Such differences, however, reflect variations in philosophy and local conditions, and one cannot say that either program is right and the other wrong.