Description: The article is a case study of various actuarial concepts invovled in the design and implementtion of the AQC - a global budget provider payment arrangement implemented by Blue Cross Blue Shield of MA.

Description: Thank you to the contributors and those who helped. Brief description of the articles in the issue.

Description: The article describes the changes to payment structures as of 1/1/2017 and their influence to Medicare Supplement that will be happening as of 1/1/2020.

Description: The article reviews high-deductible health plans and poor reimbursement for mental health providers as being the root of 3 devastating problems facing the US.

Description: Summary of recent activity in the social insurance and public finance section and invitation to volunteers.

Description: Insurance Regulation in Spain In response to the 1995 Ordinance on the Supervision of Private Insurers, the Direccion General de Seguros DGS has proposed a sweeping new set of regulations. These regulations replace the 1985 and 1986 regulations their amendments and are intended bring Spanish regulation and practice line with the European Community EC directives. This article reviews some key aspects of the new Spanish regulation and discusses possible responses by the insurance market.

Description: A discussion of pension reform in China at the time of the July 1997 introduction of a new unified pension system.

Description: Discussion of the introduction of the Euro and its impact on European cooperation and its impact on the ability of the United States and its currency to dominate the world's political and financial system.

Description: An interview with a health insurance expatriate actuary working in Brazil, discussing his experiences and the health insurance market in Brazil

Description: Article describing some of the significant changes occurring in Poland after the fall of the Berlin Wall with a focus on life insurance and conversion to a private pension market.