V76 - Commercial Health Care: What's Now and What's Next


June 16, 2016

  • External Forces & Industry Knowledge

Presented by

Health Section


With the 2017 pricing season nearly complete for commercial health care, and two of the 3R risk mitigation programs in the rear view mirror, what should we expect going forward in the commercial health care markets?  This session will focus on coming ACA legislation impacts, market morbidity, consolidation of carriers, strategy, tactics and other concerns.

At the conclusion of the session, attendees will be able to:

  • Understand current and emerging trends in the commercial ACA sector.
  • Learn about ACA alternatives in the commercial market, including traditional (such as large group and self-funding) and emergent options.
  • Understand and navigate the challenges that today's commercial sector health actuaries have to deal with.




Demonstrating the listening, writing and speaking skills required to effectively address diverse technical and nontechnical audiences in both formal and informal settings.

Professional Values

Adhering to standards of professional conduct and practice where all business interactions are based on a foundation of integrity, honesty and impartiality.

External Forces & Industry Knowledge

Identifying and incorporating the implications of economic, social, regulatory, geo-political and business changes into the design and delivery of actuarial solutions.


Initiating, innovating, inspiring, creating or otherwise acting to influence others regardless of level or role toward a common goal.

Relationship Management & Interpersonal Collaboration

Creating mutually beneficial relationships and work processes toward a common goal.

Technical Skills & Analytical Problem Solving

Applying the actuarial knowledge, skills and judgment required to provide value-added services.

Strategic Insight & Integration

Anticipating trends and strategically aligning actuarial practice with broader organizational business goals.

Results-Oriented Solutions

Providing effective problem solving that addresses relevant interests and needs.