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

Description: Attendees learn about the Patient's Bill of Rights, pressures on managed care programs and the strategies being used to address the changing dynamics of the managed care environments. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 116

Description: In this session, panelists present their views on the future of managed care in light of the current environment. From the Record of the Society of Actuaries, Volume 29, No. 2, Session 118

Description: This session discusses the impact of rising costs and increased litigation on managed care. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 133

Description: This session discussed Managing The Delivery Of Health Care To Control Medical Costs. Includes organizational & marketing strategies, rate strategies, selection issues, plan design, and regulation. Record of Society of Actuaries 1983 Vol. 9, No. 4

Description: In order to encourage health insurance issuers to offer health insurance coverage on the Exchange and on the individual and small group markets, while ameliorating the potential impact on any particular health insurance issuer of providing coverage without pricing for pre-existing conditions or the gender of the insured, the Affordable Care Act includes three risk-sharing programs: the Transitional Reinsurance program, the Risk Corridor program and the Risk Adjustment program (collectively referred to as the “3Rs”). The financial and tax reporting of each health insurance issuer is affected by the implementation of these risk-sharing programs because each health insurance issuer is required to pay for the programs’ costs, and some issuers are or will be eligible for benefits under them.

Description: Feature article discussing the impact of health care reform on the direct insurance market and the reinsurance market.

Description: This session discussion presents future needs for services and financing arrangements for aging baby boomers, scenarios of the Long-Term Care LTC situation in the year 2010, and the gap between future needs for LTC and current methods of providing it. From Record of the Society of Actuaries 1987 Vol. 13, No. 4A.