Description: US pharmacy prices have entered a new era of growth driven by Specialty medications. A bevy of state and national regulations have been proposed to address pharmacy pricing, industry structure and transparency.Health actuaries will learn about US pharmacy pricing structure and how proposed legislation could affect future costs. Actuaries that have responsibility for pharmacy rate/budget setting, RFPs or trend projection will benefit from a deeper understanding of the US pharmacy market landscape and gain an international perspective.

Description: Part II of a two-part series discussing individual market evolution from before the ACA through President Trump's first term.

Description: This paper will examine why CSR defunding produces pricing uncertainty and how regulators can alleviate these risks when insurers price 2020 premiums.

Description: Read the November 2016 issue of Health Watch published by the Health Section. Newsletters provide practical information for the working actuary, articles on trends that impact sections and news about section activities.

Description: This article summarizes the presentations by the Society of Actuaries and the Academy of Actuaries at the January 2015 National Academy of Social Insurance (NASI) Roundtables in Washington DC. SOA presented on the 2014 SOA monograph series "The Link between Retirement Security and Long-Term Care."

Description: Profile of the Health Section.

Description: Interviews with several actuaries who are subject matter experts in the health field to get their perspectives on implementing the Affordable Care Act (ACA).

Description: Developing a formal strategy to guide the SOA’s activities with respect to public policy-related topics is underway. Recent experience shows that non-partisan contributions through the SOA’s research are already adding value to important public policy discussions.

Description: The article is a case study of various actuarial concepts invovled in the design and implementtion of the AQC - a global budget provider payment arrangement implemented by Blue Cross Blue Shield of MA.

Description: Explanation of Medicare Advantage STAR rating program as it relates to payment rates for MA bids. Also describes important features of the program from an actuarial perspective, how the components of the STAR rating are calculated and implications and considerations for actuaries.

Description: Update on Health Section research projects and topics, including health care reform, complexity science, and strategic planning.

Description: A proposal to reform current health care market, from a 'preferred payer' system, in which Medicare and Medicaid pay less than the true cost while others must then pay more, to a 'value for money' system. This would be achieved by requiring providers to bill all patients the same rate for the same services, with a standard bundling format to make all providers' rate differences transparent. Differences between billed charges and what Medicare pays would be made up by the Medicare patient, rather than subsidized by those outside of Medicare.

Description: An essay discussing universal access to high quality, low cost health care.

Description: Essay offers a vision of health care where everyone is covered, everyone is eligible, receives fair pricing, receives vital information and is taxed the same.

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 panel offers a summary of the Medicare Modernization Act signed into law in 2003, which implemented sweeping changes to the Medicare program. Topics include Medicare Advantage, the impact on Medicare Supplement, Part D, and the impact on retiree health plans. From Record of Society of Actuaries, Vol. 30, No. 3, Session 127

Description: Panelists discuss key public policy issues relating to access, coverage, and financing of health care, as well as current health care reform proposals. From the Record of the Society of Actuaries, Volume 30, No. 1, Session 47

Description: Presented at May 2000 Spring Meeting. Discusses the public policy issues regarding access to health insurance coverage. In particular, the speakers focus on the problem of the uninsured and on the debate of shifting from a primarily employer-sponsored financing of health-care coverage to an individual market system or greater government subsidies.

Description: This article discusses health care reform in Kentucky. In 1994, Kentucky implemented health care reform measures inspired by the unsuccessful attempt at national health care reform in the Health Security Act of 1993. The measures adopted in Kentucky are described by the author as 'a textbook case of how not to engage in health care reform.' From: The Actuary, April 2000 – volume 34 - Issue 4.

Description: The Society of Actuaries, the SOA Pension Section, the Conference of Consulting Actuaries and the American Society of Pension Actuaries are contributing funds in support of efforts to get the actuarial profession more involved in modeling that addresses national retirement income policy and health care reform. The first project will be a feasibility study to analyze each major existing database/model and investigate whether it would be practical to access it or to extend it into a new macrodemographic model.

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 session discusses the role that the SOA, AAA and actuaries have played in developing/analyzing various federal health care reform proposals. What will the future hold for practicing health actuaries? From Record of Society of Actuaries Vol. 20, No. 3A.

Description: This article is about the comprehensive health care reform proposal from the Clinton Administration.

Description: Discussion of various alternatives for financing health care.: It discussed providers,the uninsured employers of uninsured workers, employers through taxes , assessment on health insurance and general revenues.