Description: A call for essays issued by the SOA Health and Long Term Care Sections on the visions for the future of the U.S. health care system.

Description: The SOA’s research objective is to provide guidance to state exchange officials and administrators, federal officials and administrators, and actuaries assisting states and health plans. The goal of the project is to estimate the morbidity and/or cost for newly insured individuals in the individual market (and to some degree, the small group exchange) relative to the morbidity and/or cost for the current commercially insured population. This analysis will primarily focus on the individual, non-group market. In order to plan for the impact that these currently uninsured individuals will have on the health insurance markets, it will be important to understand their costs relative to the costs for people already enrolled, for whom many health insurers have experience and data.

Description: A summary of the 14th Monograph “Health Risk Assessment and Health Risk Adjustment: Current Initiatives” published by The American Academy of Actuaries.'The monograph examines the approaches of two states, New York and California, in implementing or considering risk adjustment provisions in recent legislative reforms.'

Description: This session is about the small to medium sized company in the health care reform. From Record of Society of Actuaries Vol. 20, No. 3A.

Description: Panelists at this session of the SOA 2000 Las Vegas Spring Meeting discuss the roles of the federal and state governments in regulating health care insurance, the potential overlaps of these jurisdictions, and how insurance companies, health plans, and providers are being affected.

Description: Panelists will discuss and stimulate audience discussion on the potential roles and opportunities for actuaries during and after health care reform. Included is a perspective from Cananda's experience. From Record of Society of Actuaries Vol. 20, No. 3B.

Description: This presentation from Session 78PD of the SOA 1999 San Francisco Annual Meeting discusses state health-care reform over the past decade and offers insights as to what has worked, what hasn't, and what has been a total disaster. The panelists further discuss the states' responses to reforms that simply have not worked and the industry's response to this challenging environment. Finally, they share their ideas of the direction they expect to see state-level reforms to take. From the Record of the Society of Actuaries, Vol. 25, No. 3.

Description: Panelists at this session of the SOA 1995 Vancouver Spring Meeting discuss the wide variety of proposals in Congress to reform the health care/insurance system including Medicare and Medicaid.

Description: The author outlines the Academy's analysis of Clinton health care premiums, standard benefits, mental health benefits.

Description: This article presents the concept of comprehensive care management as a fundamentally different way to reform health care and reduce costs. There are 3 components - demand management, utilization management and disease management.