Description: Round table discussion regarding the pros and cons of the Affordable Care Act.

Description: Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the member and increased payments to Medicare Advantage plans. Milliman's HCC prevalence study illustrates the significant variations in HCC prevalence rates by age/gender, geography, and population type and will assist plans in benchmarking the effectiveness of their own diagnosis code capture efforts.

Description: Past problems with Association Group Disability Coverage inadequate pricing, contract deficiencies, less restrictive underwriting standards, lack of risk diversification Issue No. 38

Description: In this interview Dr. Reinhardt shares his thoughts on the role he believes actuaries should take in the health care system reforms.

Description: Recap of content contained in the October 2013 issue of the Health Watch newsletter.

Description: This article provides an overview of the financial results of managed care plans over time using a collection of the NAIC financial statements.

Description: We highlight a new approach leveraging predictive analytics to identify high risk and rising risk opioid users for more effective screening and follow-up care.

Description: As private payers ponders the early adoption of genomic testing to guide treatment pathways, can personalized approaches to care prove financially sound?

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

Description: Created by the PPACA, states can establish a Basic Health Program to cover low income individuals. This is specifically designed to help these individuals as their eligibility for various health care coverage options changes throughout time. This article discusses how the Basic Health Program is funded.