Description: The winner's curse, applied to Affordable Care Act plan pricing.

Description: With the 2017 pricing season nearly complete for commercial health care, and two of the 3R risk mitigation programs in the rear view mirror, what should we expect going forward in the commercial health care markets? This session will focus on coming ACA legislation impacts, market morbidity, consolidation of carriers, strategy, tactics and other concerns.

Description: One of the Health Section's key focuses in 2019 is Initiative 18/11. Last year the SOA joined forces with the Kaiser Family Foundation (KFF) and the Healthcare Financial Management Association (HFMA) to answer the nagging question: “What can we do about the cost of healthcare?” A steering group has been formed to lead a research project as to what managed care companies can do to reduce costs without sacrificing quality. The project [called Managed Care 3.0 in the 18/11 paper] will examine historical models that have worked as well as investigate the impact that new technologies and care models may have on cost and quality, with the goal of better understanding the current environment and identify­ing potential risks and opportunities.

Description: View presentations from the Advanced Commercial Pricing Boot Camp for Health Actuaries.