Description: The SOA’s research objective is to provide guidance to state exchange officials and administrators, federal officials and administrators, and actuaries assisting states and health plans. The goal of the project is to estimate the morbidity and/or cost for newly insured individuals in the individual market (and to some degree, the small group exchange) relative to the morbidity and/or cost for the current commercially insured population. This analysis will primarily focus on the individual, non-group market. In order to plan for the impact that these currently uninsured individuals will have on the health insurance markets, it will be important to understand their costs relative to the costs for people already enrolled, for whom many health insurers have experience and data.

Description: Affordable Care Act and Payment Reform

Description: The editorial shares observations and lessons learned from the process of implementing the Affordable Care Act.

Description: A Regulatory Perspective on Rate Review Before and After the Affordable Care Act

Description: Discussion of the impact of the ACA on RBS and required surplus for a health plan

Description: This article begins with a comparison of the commercial risk adjuster to the exisiting Medicare model, and goes on to discuss why the existing strategies employed by health plans will not work in a risk adjusted environment. The article elaborates on the importance of diagnosis coding, controlling member mix, and care management in order to mitigate risks and gain from newly created opportunities.

Description: An essay suggesting a health care financing system.

Description: A glossary of terms.

Description: A compilation of feedback from actuaries in the Health Section of the affects of the ACA.

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.