Description: This paper describes a new major medical policy from The Equitable. The author describes the policy and discusses anticipated claims experience and the calculation of gross premiums. From Transactions of Society of Actuaries 1955 Volume 7, Number 17.

Description: This article attempts to make a modest contribution to the dialogue on the potential and risks associated with novel treatments such as cell & gene therapies. With a fast-expanding roster of what are believed to be one-time treatments at ever increasing price points aimed at curing a wider swatch of the population, they are as much a source of relief for patients stuck in medical limbo, as they are a source of anxiety for payers.

Description: Discusses variability in per capita health-care costs by health-care provider.

Description: During the past few years, performance, cost, and risk trends for Medigap products have undergone substantial changes. Some of these trends could ease cost pressures on Medigap insurers, while others might increase them. Part 1 of this Issue Brief article discusses current changing trends and considerations around about how they are impacting Medigap.

Description: This is Part 2 of 2 on changes affecting Medigap insurers. It focuses on marketing and regulatory differences between Medigap and Medicare Advantage that affect the competitiveness of Medigap plans.

Description: Risk adjustment is used to adjust the revenue stream to health insurers that sell ACA eligible plans and Medicare Advantage plans. This article compares and contrasts these risk adjustment programs.

Description: This articles discusses an online survey of Brokers and Intermediaries regarding Third Party Administration in the Employer Stop Loss ESL sector.

Description: The Joint Committee on Health Insurance appointed a subcommittee, known as Task Force 4, to study the problems of reserves for accident and health insurance. The final report of the Task Force, including basic tables of net annual claim costs for hospital and surgical expense insurance, was adopted by the NAIC at its December 1956 meeting. This article contains the Task Force's final report [included as Appendix A] and 30 Tables for use in valuing hospital and surgical expense insurance in accordance with the recommendations of Task Force 4. From Transactions of Society of Actuaries 1957, Vol. 9, No. 25.

Description: What is the difference between a Single-Payer and Universal Health Care System, and how could the U.S. implement a system that would reduce the growth of medical costs while increasing quality.

Description: This article analyzed the characteristics of the uninsured. Income had the highest correlation. From: The Actuary, April 2000 – volume 34 - Issue 4.