Description: Letter from reader about the article Responsible Health Care Reform Part 2: Access to Care with a response from one of the article’s authors. From The Actuary, August/Sept 2010 Vol 7 Issue 4

Description: This article points out actuarial issues surrounding provisions in the ACA that impact financial reporting.

Description: This 1993 paper examined the premium rate changes that could have resulted from the passage of The Health Insurance Reform and Cost Control Act of 1991. From Actuarial Research Clearing House 1993, VOL. 3.

Description: Health care reform will require health insurers to change the way they make decisions on what to sell while remaining financially sound. The new regulatory reality of expanded access to coverage leaves insurers with fewer options for managing costs and business risk. With the introduction of risk adjustment mechanisms in the exchanges, the most profitable members will not necessarily be the lowest cost ones, but rather, the members which the health plan is relatively more effective at servicing. While Patient Protection and Affordable Care Act 'PPACA' prohibits underwriting and using any health status information for denying coverage or varying the premium rates, this article describes how the use of consumer data will affect the way health insurers make decisions on what products to sell.

Description: Discussion of state medicaid expansion due to provisions of the Affordable Care Act.

Description: Stakeholders in a specific state (Minnesota) were interviewed about the potential value -- and obstacles -- of a catastrophic backstop program to handle long term care (LTC) financing needs. The design would entail a payroll deduction which would produce a fund to pay LTC expenses once a deductible period (of 1 to 4 years, depending on income) was reached. This design was believed to encourage enrollees to cover the front end better than done today, whether by private insurance or other means.

Description: This session discusses current federal proposals for health care reform, including the impact on traditional health insurance programs and the roles that actuaries can play. From Record of Society of Actuaries Vol. 19, No. 4A

Description: This article provides a brief summary of the health insurance bill introduced in the New York legislature on February 22, 1967 which proposes mandatory heath insurance.

Description: This session discusses the key issues in the Medicare reform debate and the direction of future change. Topics include Medicare + Choice and the employer perspective. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 5pd.

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.'