Description: Countries developing universal health care via an insurance vehicle face a variety of challenges. Deciding which benefits to include, where to proactively manage health, and how to reimburse network providers are just a sampling of the issues governments concurrently manage. Optimal choices are data-driven responses. For example, high rates of cervical cancer or increasing narcotics prescriptions are trends that can be managed through product changes, modified network payment structures, or even employer based outreach. This kind of information is typically gleaned from established health insurance claims data. However, in emerging health insurance markets, this level of granular claims data is largely missing. It is difficult to manage medical trend when the root causes are unclear. This article explores a pilot medical underwriting project in Jordan.

Description: How to effectively retain top talent is a challenge that all employers face and an area in which employee benefits have been playing an increasingly important role. Traditionally, the market has been very competitive, with generic products mainly focused on outpatient and inpatient medical reimbursement, Term Life cover and accidental benefits. For large multinationals, employee benefits are often tailor-made solutions arranged via international brokers whereas small to medium-sized enterprises (SMEs) are more likely to utilize standard packages offered by insurance companies via agents. This article explores the evolution of employee benefits in Asia.

Description: Article describes the language changes between AG 49 and AG 49-A.

Description: A jurisdiction’s regulatory regime can make some insurance products capital intensive to write. This can increase incentives for insurers to enter into risk transfer arrangements, such as reinsurance, to support their business and growth objectives.

Description: The article summarizes results of a Milliman survey per the title. These products comprise about 40% of the total individual life market, and the survey covers a range of topics on these plans, which should be of interest to a large portion of the life industry.

Description: This article is about small business changes and challenges before and after COVID.

Description: LEARN is an offering to regulators about reinsurance. This article summarizes a session held for Brazilian health regulators in the fall of 2022.

Description: Overview of the regulatory requirements around sustainability reporting in Europe.

Description: Chairperson's column for the May 2023 issue of NewsDirect discussing the Section's strategic themes for the year.

Description: State Medicaid agencies have been implementing value-based payment (VBP) models for the last decade and are increasingly exploring advanced population-based payment (PBP) models that increase flexibility, predictability, and accountability for participating provider organizations. PBP models show promise in advancing Medicaid priorities, but are still in the early stages of development, and model design and implementation challenges remain. This article from the Center for Health Care Strategies explores the fundamentals of VBP and how PBP - a particular type of payment model - can help Medicaid agencies achieve goals related to care transformation and quality improvement, revenue stability, and controlling cost of care.