Description: Since health care reform has made accountable care organizations a hot topic, an SOA workgroup is addressing relevant questions, including provider risk under various ACO models, limitations of the Medicare model for motivating change in the health care delivery system, strategic priorities, attribution of members, meaurement, and the roles actuaries can play.

Description: Discussion of some of the debated aspects of the new health care law from an actuarial principles perspective.

Description: An edited written interview with two actuaries and a public health professional on issues related to the intersection between the two fields.

Description: Recent health care reform activity has highlighted the importance of Clinical Integration in improving the quality, safety, efficiency and reimbursement infrastructure of the health care system. This article discusses relevance and implication of regulatory measures, implementation and data issues, and provides an end-to-end example.

Description: Discusses effect of allowing companies to sell health insurance policy in any state, if approved in one state, without requiring approval in any other state.

Description: In this paper, Chapter VII of the 1987 Valuation Actuary Handbook, the author, an attorney with the American Academy of Actuaries, discusses the valuation actuary concept, starting with the current regulatory system. The potential legal implications, including personal liability, are explored. The author notes that “perhaps most significant is the fact that by increasing the scope of the valuation actuary’s duties, the nature and scope of potential professional liability also increase.”

Description: A discussion of Actuarial Aspects of Section 404 of Sarbanes-Oxley

Description: Article Health Insurance in The Actuary, June 1979, Volume 13, Number 6

Description: This articles describes how actuaries can contribute to the understanding of the financing of Medicare and the urgency of its problems.