Description: Update on the potential impact of national health law legislation, and discussion of the influence of inflation on both the relation between actual and expected claims, and the design of new benefits and administrative procedures. This presentation was made at the 1975 SOA Los Angeles Spring Meeting.

Description: The panel offers a recap of the most recent initiatives being proposed for reform of the Medicare program. Items addressed include areas of actuarial concern, potential impacts on the insurance industry and responses initiated by the actuarial profession. From the Record of the Society of Actuaries, Volume 30, No. 1, Session 48

Description: Presented at May 2000 Spring Meeting. Discusses the public policy issues regarding access to health insurance coverage. In particular, the speakers focus on the problem of the uninsured and on the debate of shifting from a primarily employer-sponsored financing of health-care coverage to an individual market system or greater government subsidies.

Description: Health care reform will require health insurers to change the way they make decisions on what to sell while remaining financially sound. The new regulatory reality of expanded access to coverage leaves insurers with fewer options for managing costs and business risk. With the introduction of risk adjustment mechanisms in the exchanges, the most profitable members will not necessarily be the lowest cost ones, but rather, the members which the health plan is relatively more effective at servicing. While Patient Protection and Affordable Care Act 'PPACA' prohibits underwriting and using any health status information for denying coverage or varying the premium rates, this article describes how the use of consumer data will affect the way health insurers make decisions on what products to sell.

Description: There has been a proliferation of proposals to expand access to public health insurance plans, either to strengthen insurance markets under the Affordable Care Act (ACA) or to replace the ACA marketplaces or other health insurance programs altogether. These proposals range from creating a public plan that would operate alongside private plans in the ACA marketplaces, to allowing individuals to buy into Medicare or Medicaid, to expanding Medicare to all. The terms used to describe these various options are often used interchangeably but they would be structured differently and have different impacts depending on the implementation details. Panelists at this session will discuss the general approaches for expanding access to public plans and their potential implications.

Description: This abstract describes a presentation that uses a dataset provided by a private insurance company which contained demographic, cost, and diagnostic data which allows the determination of which factors drove costs up and how these factors will affect the total cost for future years.

Description: In this session at the SOA 2003 Vancouver Spring Meeting, panelists discuss the issue of the health care uninsured and underinsured. Participants discuss activity at the state level, the federal level, and the work of the American Academy of Actuaries' Work Group.

Description: Discussion of the implications of the newly unveiled health care reform proposal by Senator Baucus. Key issues include abandonment of the CLASS Act, inclusion of LTC in cafeteria plans, funding and tax concerns, individual mandate, privacy concerns, play-or-pay employer mandate, impact on Medicare and Medicaid, and gridlock in the legislative finalization process.

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.

Description: The author attempts to weave together biological and environmental explanations into the mathematical approaches developed over the past two centuries so as to, in the words of two earlier authors from the actuarial profession, reground the relationship of actuarial science with cellular biology and gerontology. Also examined is the extent to which increasing wealth and higher standards of education and health contribute to happiness.