Description: This session discussion is about two proposals for health-care reform will be presented, one from the Blue Cross/Blue Shield Association and one from the Council for Affordable Health Care. These dramatically different proposals will be compared and open for critique. From Record of Society of Actuaries Vol. 18, No. 4A.

Description: This analysis provides an overview of the functional components of the managed care system. It discusses the market forces underlying the United States’ system for health care financing and delivery and suggests how market forces impact the health care industry. The analysis focuses on societal goals for health care delivery and on managed care’s effectiveness in enabling achievement of those goals. The analysis develops and uses an innovative model developed to summarize the complex interplay among the many stakeholders, or participants, in the health care system. The model provides a framework for analysis of the many relationships among stakeholders. The analysis also highlights current issues in managed care, particularly the barriers that impede collaboration among stakeholders.

Description: This article contains a condensed summary and excerpt from the fourth white paper in the Commercial Health Care: What’s Next? series.

Description: Essential Health Benefits and Actuarial Value

Description: Affordable Care Act and Payment Reform

Description: Projecting start-up capital requirements for Health care co-ops and public plans

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

Description: A Regulatory Perspective on Rate Review Before and After the Affordable Care Act

Description: Article about the future roles in health insurance.

Description: Individual Market and ACA Products Actuarial rating principals