Description: This article is about the agent orange program and the actuarial analysis which provided necessary information so that the available funds would be sufficient to pay eligible claims. From The Actuary Vol. 24, No. 2

Description: Insurers are becoming increasingly involved in the development and marketing of prepaid health care service plans, or Health Maintenance Organizations HMOs. The article describes four different approaches for establishing capitation rates for HMOs 1. Integrated Budgeting Approach, 2. Inventory Approach, 3. Group Insurance Rating, and 4. Actuarial Approach.

Description: Details of an actuary’s project to help a local nonprofit agency improve its data analysis and customer service issues.

Description: Author provides rationale for his disagreement with the latest draft proposal of reserve standards for health insurance that is being considered by the NAIC for adoption.

Description: A view of Social Security disability experience for 1970 through 1978, and future projected trends based on observed application, approval, and recovery rates.

Description: Article from The Actuary, December 1975, Volume 9, No. 10, discusses medical expense insurance. This article addresses the following questions: Why have group claim frequency rates remained high? What can be expected for the future? What management actions are appropriate? This presentation is one actuary's attempt to answer these questions.

Description: This article explores the changing risk profile between the transitional Affordable Care Act (ACA) period (2014-2016) and under the final ACA period (beyond 2017) for the individual market. Actuaries are in a unique position to help facilitate the change from the current ACA period to the final period when health plans will have to take on substantially more risk.

Description: A discussion of funding arrangements that can reduce the costs of providing medical coverage through lower reserves or state tax savings, instead of through cutting benefits.

Description: Book review of Employee Benefits, written by Burton T. Beam, Jr., and John J. McFadden. Published in 1985 by Richard D. Irwin, Inc. 486 pages plus bibliography and index.

Description: The article explores how deeply the Affordable Care Act reduced the Medicare Advantage benchmark payment rates and quantifies how much of that reduction Medicare Advantage Organizations earned back through quality bonuses.