Description: This article describes the results of three years of work by Blue Shield of California to collaborate with hospitals and physician organizations to reduce cost and improve quality for commercial populations in targeted geographies.

Description: Review of reimbursement methodologies APGs, APCs, Medicare ASC, discount on charges, commercial hybrid, methods and trends in contracting, impact on trent, benchmarking. Issue No. 44.

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

Description: An edited written interview with two actuaries and a public health professional on issues related to the intersection between the two fields.

Description: Discussion of direct primary care and how it helps with several challenges in health care today. DPC improves care coordination, improves outcomes, improves doctor and patient satisfaction, and reduces spending. DPC successes promote the view that primary care should not be covered by insurance; rather, it should be paid for directly.

Description: Discussion and Opinion on how randomness affects measurement of provider contracting risk-sharing agreements

Description: This short article presents the latest SOA health research report on alternative payment models for high-cost curative therapies.

Description: This interview article summarizes the work being done by a Health Section Strategic Initiative Committee.

Description: Methods and assumptions used in the valuation of savings by external care vendors

Description: This article from major US payers describes palliative care as a scaleable means of improving quality and reducing costs during serious and complex illness.