Description: This 1981 session dealt with Risk Classification for Individual Health Insurance. Topics included current legislative/regulatory trends and their impact on pricing and plan design, high risk-sharing pools, and deomographic considerations. From Record of Society of Actuaries 1981 Vol. 7, No. 2.

Description: An analysis of prescription drug use in the Kansas individual market

Description: We propose using premiums and tax revenue to fund high-cost individuals in the Individual ACA market.

Description: Article from The Actuary, April 1972 – volume 6 - Issue 4 is a review of a book by Lewis C. Robbins, M.D., M.P.H. and Jack H. Hall, A.B., M.D., titled How To Practice Prospective Medicine by assessing and classifying various health risk factors. The review states the authors' basic assumption that average risk can be determined by calculating the total numbers of deaths by cause in the general population is open to criticism. Furthermore, the assignment of weights for the individual risk factors is quite tenuous in many instances. The authors acknowledge this, but once a number appears in print, especially as part of a complex table, it achieves a sanctity that is difficult to destroy.

Description: Individual Market and ACA Products Actuarial rating principals

Description: A new health insurance pricing model takes external market prices into account, as well as regulatory rate restrictions and other traditional pricing factors. Rather than being assumed at the outset, lapse rates emerge from the model, along with assessment spiral & loss ratio projections. Under the model optimal pricing strategy depends on whether the class being rated has a healthier than average mix of risks.

Description: This article is focused on sustainability concerns in the ACA individual markets and what we can learn from core actuarial principles as discussed in ASOPs.

Description: Table from an article in The Actuary Magazine on an analysis of risk management terminology: your guide to speaking ERM with different industries. Volumn 4, Issue 6

Description: Table from an article in The Actuary Magazine on an analysis of risk management terminology: your guide to speaking ERM with different industries. Volume 4, Issue 6

Description: Updates on the efforts of the Academy’s health practice council. its work groups and task forces, to educate health care policymakers on issues including principles for reform, Medicare, the individual insurance market, and risk factors.