Description: Provider Payment Arrangements, Provider Risks, and their Relationship with the Cost of Health Care

Description: This is an article explaining the options employers have under the Medicare Part D, or the Prescription Drug Improvement and Medicare Modernization Act - MMA - that took effect in January 2006. The article discusses 4 options under the MMA with the advantages and disadvantages of each.

Description: Reinsurance reduces the required capital of the primary insurer but increases that of the reinsurer. Capital is costly. All capital costs, including that of the insurer and the reinsurer, are ultimately borne by primary policyholders. Reducing the total capital of insurers and reinsurers brings down the total capital cost and the total primary policy premium. A reinsurance arrangement is considered optimal—if it minimizes the total required capital. This optimal reinsurance is an attracting equilibrium under price competition. Evidence suggests an inverse relationship between the total required capital and the correlation between the losses held by different insurers and reinsurers. Examples are constructed to examine this and other properties of the optimal reinsurance.

Description: This article provides a detailed description of the unbalanced subsidy provisions in the Affordable Care Act with easy to follow numerical illustrations. An understanding of the illustrative calculations is necessary to understand the subsidy implications. The article highlights some surprising and likely unintended results that will be interest to issuers, employers, consumers, regulators and policymakers. Actuaries can add expertise to their clients and to the public discussion with a proper understanding of the subsidy calculations and the resulting implications.

Description: The actuarial committee that authored this report developed a model to estimate the revenue the tax would generate. The results point out key considerations for an excise tax on high cost health plans, including the wide range of results generated by sensitivity to certain assumptions.

Description: Discussion of the items the AAA work group is reviewing with regards to the NAIC Model Regulation for Long-Term Care for premiums sufficiency and pricing. From Long-Term Care Newsletter, August 2002, Issue No. 6.

Description: There are many ways to manage a long-term care closed block of policies but some of the common ones are rate increases, enhancement of claim practices and helping policyholders to remain independent and thriving at home.

Description: A Delphi Research Study of Long-Term Care Financing Solutions." Two members of the Project Oversight Group discuss the reasons for the study and the Delphi method and summarize the results of the study.

Description: Discussion of what is included within the scope of Enterprise Risk Management and why it is of significance to the jobs of financial reporting actuaries

Description: Impact of Technology on Health Care Delivery Systems - Chart 2