Description: Panelists discuss major reforms of health care financing and delivery systems around the world. From the Record of the Society of Actuaries, Vol. 24, No. 2.

Description: In April, 2009, the Chinese government launched the most comprehensive Health Care System Reform ever. The goal: to establish and improve the basic health care system covering most urban and rural residents, and to provide the people with safe, effective, convenient and affordable health care. There is no doubt that this 'Made in China' health care reform will become the world’s most extensive health care system reform because it will inevitably affect many players in the game such as the local governments who currently administrate the program, the medical professionals who provide the care, the pharmaceutical manufacturers who provide the medicines, and the very large population who participate in the program, etc. This article summarizes the highlights of China's health care reform program.

Description: An actuaries' view of what happened to health care reform and the future of reform.

Description: Discussion of state medicaid expansion due to provisions of the Affordable Care Act.

Description: Read detailed analysis of a legislated act aimed in providing access to affordable, quality, accountable health care.

Description: This article contains excerpts from the first three articles that were released through the strategic initiative - Commercial Health Care: What’s Next?

Description: The author provides an overview of the Chinese health care system from its beginnings in in 1949 to the present day launching of the most comprehensive reform ever.

Description: Since health care reform has made accountable care organizations a hot topic, an SOA workgroup is addressing relevant questions, including provider risk under various ACO models, limitations of the Medicare model for motivating change in the health care delivery system, strategic priorities, attribution of members, meaurement, and the roles actuaries can play.

Description: A proposal to address provider payment issues by gradually moving to accountable care organizations. Capitations would be risk-adjusted, non-capitated costs would be covered by hospitalization fund and stoploss, incentives for quality & effective preventive care would be tied to the amount remaining in the fund, and government involvement would be through incentives rather than mandate.

Description: This article contains a condensed summary and excerpt from the fourth white paper in the Commercial Health Care: What’s Next? series.