Description: Discussion of state medicaid expansion due to provisions of the Affordable Care Act.

Description: The paper addresses the issue of cost-sharing reductions under the Affordable Care Act.

Description: A discussion of the impact of the June, 2012 U.S. Supreme Court decision on Medicaid expansion and the financial impications for states.

Description: Coverage of Medicaid home and community-based services under the 1915(i) state plan option: Attractive features and important considerations

Description: On October 19, 2011, the Social Insurance & Public Finance [SIPF] Section sponsored a session at the Society of Actuaries Annual Meeting in Chicago on the impacts of the federal health legislation called the Patient Protection and Affordable Care Act [PPACA]. This article summarizes the more salient comments of the panelists at that session.

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: This article points out actuarial issues surrounding provisions in the ACA that impact financial reporting.

Description: This article provides an overview of the key provisions and impacts of the Affordable Care Act's Cadillac Plan Excise Tax.

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: This article is a book review of Deaths of Despair and the Future of Capitalism written by Anne Case and Angus Deaton. The book highlights factors that have attributed to the decline in life expectancy in the U.S. over the past two decades. Overall, there has been a significant increase in deaths of despair from drug overdoses, suicides, and alcoholic liver disease that has impacted life expectancy. The review of this book highlights key points and factors in this increase in deaths of despair based on the research of the authors. From an actuarial perspective, this book identifies areas within the U.S. society and economy that would continue this trend and impact future mortality rates and improvement scales.