Description: A report on the proceedings of the June 2010 SOA health meeting. Leading topics included health care reform, opportunities to expand actuaries' roles, the global financial crisis, and collaboration with other organizations.

Description: The Affordable Act's risk corridor program is a temporary feature that applies to individual and small group QHPs from 2014 through 2016. Designed to protect insurers against pricing uncertainty, the program appears straightforward but has many subtle consequences. In this article, we review the need for risk corridors, the calculation itself, and the implications that result.

Description: Court is in session and you're the jury! Follow along as challenging aspects of actuarial professionalism are explored in a court-like setting. Deliberate based on what you already know from your own experience, as well as what you learn in this session. Challenge yourself to evolve and diversify your thinking as new trials are presented in the form of case studies. Then, deliver your verdict accordingly. Who says the actuarial professionalism is an open and shut case? Let's interact together to be innovative while ensuring that we uphold our professionalism standards. There will be a mix of new and updated cases. There will be one case repeated from the 2021 ImpACT Annual Meeting.

Description: An economics professor and a health care consumer advocate weigh in on the Patient Protection and Affordable Care Act, including implementation issues, directions for the future and what role actuaries shoudl take.

Description: In this continuation of our July 2013 article we explore an algorithm for evaluating Hidden Markov Models in detail. A preferred method in speech recognition technology, Hidden Markov Models are a promising technique when dealing with data you suspect may be driven by a change in a unobservable state. The example in the article is provided in an Excel workbook for the reader to follow along with.

Description: One of the Health Section's key focuses in 2019 is Initiative 18/11. Last year the SOA joined forces with the Kaiser Family Foundation (KFF) and the Healthcare Financial Management Association (HFMA) to answer the nagging question: “What can we do about the cost of healthcare?” A steering group has been formed to lead a research project as to what managed care companies can do to reduce costs without sacrificing quality. The project [called Managed Care 3.0 in the 18/11 paper] will examine historical models that have worked as well as investigate the impact that new technologies and care models may have on cost and quality, with the goal of better understanding the current environment and identify­ing potential risks and opportunities.