Description: Dataset to accompany Fifty States, Fifty Stories: A Decade of Health Care Reform Under the Affordable Care Act - Technical Report

Description: Affordable Care Act and Payment Reform

Description: The June 2021 Supreme Court ruling in California vs. Texas has significant ramifications on Affordable Care Act markets. This session will provide the actuarial community an overview of the ruling, the likely impact on health insurance markets, and potential legislation to address the ruling details.

Description: The editorial shares observations and lessons learned from the process of implementing the Affordable Care Act.

Description: This article provides a detailed description of the unbalanced subsidy provisions in the Affordable Care Act with easy to follow numerical illustrations. An understanding of the illustrative calculations is necessary to understand the subsidy implications. The article highlights some surprising and likely unintended results that will be interest to issuers, employers, consumers, regulators and policymakers. Actuaries can add expertise to their clients and to the public discussion with a proper understanding of the subsidy calculations and the resulting implications.

Description: Republicans have promised to repeal and replace the Affordable Care Act for years. Now that they have power, what will Republican health care reform look like?

Description: This abstract describes a paper that details the fundamental assumptions of the risk adjustment tool proposed for use in the Patient Protection and Affordable Care Act in January 2014 and the potential biases that could accompany its introduction.

Description: This session will discuss the implications of a proposed federal catastrophic long-term care program, the WISH Act. The session will focus on the benefit to consumers, the financial soundness of the proposed program and the regulatory steps necessary to achieve the desired public/private insurance program goals. The session may also consider state based reform proposals.

Description: The Society of Actuaries (SOA) released a new modeling tool to assess the impact of COVID-19 on health care insurance estimates for 2021. This model and an accompanying research report help illustrate the level of the COVID-19 outbreak, the potential scenarios over the next half year and the direct costs from this pandemic.

Description: Presented at the Living to 100 Symposium, January 2011. The Community Living Assistance Services and Supports 'CLASS' Act’s designers and promoters envision the program as a noble plan to relieve the financial strain on Medicaid long-term care and enable disabled and elderly Americans to purchase more home care and suffer less nursing home institutionalization. This paper explains why CLASS, like private long-term care insurance, is doomed to failure unless and until the crowd-out effect of easy access to Medicaid LTC benefits is addressed.