Description: The focus of this article is to provide background to actuaries on the updates in the employer stop loss medical insurance market including underwriting and pricing trends.

Description: Part II of a two-part series discussing individual market evolution from before the ACA through President Trump's first term.

Description: The Johns Hopkins ACG Team's comments regarding their participation in the Comparative Analysis of Claims-Based Tools for Health Risk Assessment.

Description: A Regulatory Perspective on Rate Review Before and After the Affordable Care Act

Description: Health Care in Ireland public care, private insurance, risk adjustment Issue No. 39.

Description: The coming wave of biosimilars could dramatically affect prescription drug costs and benefit strategies over the next several years. The launch of many Humira biosimilars in 2023 is the Big Event that will largely determine the impact of the biosimilar wave. Payers have many decisions to make about coverage and formulary tiers. What factors will drive payer decision-making?

Description: On Dec. 29, 1973 President Nixon signed into law the Health Maintenance Organization Act of 1973, which authorizes $375 million to be used by the DHEW to stimulate the establishment and development of HMO's over the next five years. This article describes the status of the regulations and the development of additional HMO's.

Description: Part I of a two-part series concerning the evolution of the individual market. It begins with background, discusses present markets and 2018 regulations.

Description: Panelists discuss the ongoing influence and long-term implications of the Health Insurance Portability and Accountability Act on the health insurance market in the U.S. From the Record of the Society of Actuaries, Vol. 24, No. 3.

Description: This article discusses the impact for MACRA legislation that will impact the Medicare Supplement market in 2020 and the ramifications for Med Supp carriers