Description: Article explores why many integrated delivery systems are struggling and what actions they need to take to succeed.

Description: This article discusses the risk mix related mathematical rationale for national average ACA premium rates dropping for the first time in 2019.

Description: Background on Medicaid and description of recent changes in the program.

Description: The widening gap in life span between high- and low-income Americans may be eroding the progressivity of Social Security retirement benefits. Differential longevity trends have had the effect of raising lifetime benefits for high earners but not for low earners. Social Security’s long-term financial problems result in part from an increase in average life expectancy driven by wealthier people living longer, and, thereby, collecting more benefits. Policymakers should not use funding shortfalls attributable to these trends as an excuse to cut monthly benefits alike for those who have gained (high earners) and for those who haven’t (low earners).

Description: This article compares various Social Security reform proposals and offers a framework for viewing proposals that provides an analysis of the options on the basis of specific sets of principles and assumptions. From: The Actuary, September 1999 – volume 33 - Issue 7.