Description: A proposal to address provider payment issues by gradually moving to accountable care organizations. Capitations would be risk-adjusted, non-capitated costs would be covered by hospitalization fund and stoploss, incentives for quality & effective preventive care would be tied to the amount remaining in the fund, and government involvement would be through incentives rather than mandate.

Description: This article discusses the challenges and unknowns relating to the regulatory inclusion of pediatric dental benefits within the essential benefits list of the Affordable Care Act (ACA).

Description: This session takes a fresh look at the issues related to acute care focus and the challenges of providing coordinated care for chronic conditions in the United States. From the Record of the Society of Actuaries Vol. 31 No. 2, Session 80

Description: Considerable attention has been given in the recent past to the likely economic and social impact of Australia’s ageing population. One particular aspect which continues to be the subject of increased commentary and conjecture, is the need and subsequent costs for Long Term Care LTC. In this paper, a multiple state projection model based on a framework by Rickayzen and Walsh 2002 is constructed in order to project the number of people in Australia who are likely to require LTC.

Description: Profile of the Health Section.

Description: May 2009 issue of the Actuary of the Future Section newsletter The Actuary of the Future

Description: The implications of the new long-term care law for individuals, employers, insurers and providers, and the federal government.

Description: The implications of the new long-term care law for individuals, employers, insurers and providers, and the federal government.

Description: Panelists at this session of the SOA 1989 Chicago Spring Meeting discuss Health Maintenance Organizaions [HMOs] including their hisotry, the marketplace, physician structures and relationships with HMOs, cost control issues and the future of HMOs.

Description: Panelists were members of the Actuary of the Future/Future of the Actuary Task Force of the Society of Actuaries [SOA]. They discussed the topics in their report to the SOA Board of Governors that related to a description of the current profession, the demand for actuaries in the 21st Century, what actuaries will be doing in the 21st Century, and implications for the selection, education, and training of actuaries. From the 1988 Record of Society of Actuaries, Vol. 14, No. 1.