Description: The ACA’s Medical Loss Ratio Provisions

Description: Introduction to the ACA @ 5 publication

Description: The paper addresses the issue of cost-sharing reductions under the Affordable Care Act.

Description: Recap of content contained in the January 2014 issue of the Health Watch newsletter.

Description: Updates on HPC activities, including new work groups for providing input to key players as health care reform moves on from the legislative phase into the regulatory phase, as well as ongoing activities of existing workgroups in financial reporting, long term care, stop loss, disease management, Medicare SUpplement, sovency, cancer claims experience, and risk adjustment.

Description: This article focuses on the actuarial value calculator and the methodology used. It proposes potential future improvements to this model.

Description: Lillian Dittrick’s strategic analytics team at UnityPoint Health® has developed an application to automatically cull unstructured doctors’ notes in electronic medical records. Dittrick’s team is part of a strategic analytics department that did not exist three years ago. UnityPoint Health®, one of the nation’s largest nonprofit health systems, has assembled a team of people who use advanced analytics to build more complete patient risk stratification models by mining claims, clinical and social determinant data in new ways.

Description: This article focuses on the minimum value calculator and the methodology used. It proposes potential future improvements to this model.

Description: Open meeting of the Society's Health Benefit Systems Practice Advancement Committee and Health Section Council, as well as the American Academy of Actuaries' Health Practice Council. The three committees review ongoing projects in the Health Practice area. From the Record of the Society of Actuaries, Vol. 24, No. 2.

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