Description: As the topic of affordable long-term care (LTC) insurance comes into focus in political conversations, we often find ourselves thinking, “What is going to happen to the private LTC insurance industry going forward?” The need for LTC in the United States is not going away, especially as the population continues to age. With this in mind, this article explores three possible future paths for LTC insurance funding and the associated implications for the private LTC industry.

Description: The article first tries to determine a consensus view of what social security should accomplish and then tries to measure how well the current level of benefits succeeds in meeting these goals. Assessing benefit adequacy is an essential element in putting the overall program on a sound financing footing.

Description: State Medicaid agencies have been implementing value-based payment (VBP) models for the last decade and are increasingly exploring advanced population-based payment (PBP) models that increase flexibility, predictability, and accountability for participating provider organizations. PBP models show promise in advancing Medicaid priorities, but are still in the early stages of development, and model design and implementation challenges remain. This article from the Center for Health Care Strategies explores the fundamentals of VBP and how PBP - a particular type of payment model - can help Medicaid agencies achieve goals related to care transformation and quality improvement, revenue stability, and controlling cost of care.

Description: Actuaries have the business acumen, problem-solving capabilities, and technical skills to develop innovative and data-driven solutions in the social insurance space. It is time we expand our scope and embrace an increased role in making a positive impact within the health care ecosystem. The primary focus of this paper is on social insurance programs dedicated to the most vulnerable population: low-income families accessing care through Medicaid. While there are numerous challenges that require other subject matter experts to take the lead, this article highlights topics where actuaries can be key players in developing and implementing tangible solutions to improve the care for the most vulnerable. Issues and solutions in this paper focus on the following three areas: 1. Access to appropriate care, 2. continuity of care, and 3. social determinants of health.

Description: The chairperson of the Social Insurance and Public Finance Section discussed the section's accomplishments, ongoing activities, and plans for future projects.

Description: Summary of 1999 IRC, PBGC, Federal Income Tax, Social Security, and Medicare Amounts by Heidi R. Dexter from Pension Section News, February 1999, Issue No. 39.

Description: This article describes Singapore's Central Provident Fund and how it involves government, employers and employees in a cooperative partnership for mandatory savings and investment to assist with the primary lifetime goals of home ownership, medical care and retirement provision.

Description: The military retirement system is a funded, noncontributory, defined-benefit plan that includes nondisability retired pay, disability retired pay, and survivor annuity programs. This article discusses the additional benefits created by the Military Retirement Reform Act of 1986.

Description: This article is a summary and analysis of the 1977 Annual Reports of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Disability Insurance Trust Funds, of the Federal Hospital Insurance Trust Fund, and the Federal Supplementary Medical Insurance Trust Fund. The author notes that an excellent introduction to these reports may be obtained by reading the Commentary Prepared to Assist in the Reading and Interpretation of the Reports, prepared by A. Haeworth Robertson, Chief Actuary of the Social Security Administration. Note: A more extensive review of the Reports will appear in the Transactions.

Description: The author presents key similarities and differences between Germany's pension system and those in other countries. Faced with similar challenges of an aging population, Germany has found quite different approaches to meet the challenges. From International News, August 2011.