Description: Review of reimbursement methodologies APGs, APCs, Medicare ASC, discount on charges, commercial hybrid, methods and trends in contracting, impact on trent, benchmarking. Issue No. 44.

Description: Incorporating Pended Claims in Medical IBNR Estimates. Issue No. 45.

Description: Evaluating the success of Disease Management Programs by looking at ROI and the risk management economic model. Issue No. 46.

Description: In this interview Dr. Reinhardt shares his thoughts on the role he believes actuaries should take in the health care system reforms.

Description: Shannon Brownlee shares her perspectives on the current health care crisis, including: inconsistent treatment patterns across providers and geographic regions, providers lacking evidence-based guidelines, the need for better independent clinical research to establish those guidelines, and the limits to consumerism's potential to fix the crisis.

Description: A discussion of issues to consider in selecting and contracting with a PBM.

Description: Updates on the efforts of the Academy’s health practice council. its work groups and task forces, to conduct research and educate health care policymakers on issues including principles for market reform, individual insurance, and risk factors.

Description: An announcement of the roster of the newly reconvened Health Section Research Committee, and an invitation to propose, participate in, and read about the committee's projects. informal RFP to solicit research project ideas, invitationto join project oversight groups and

Description: A report on the proceedings of the June 2010 SOA health meeting. Leading topics included health care reform, opportunities to expand actuaries' roles, the global financial crisis, and collaboration with other organizations.

Description: This article looks at the Return on Investment for Disease Management and highlights point to consider. From Health Watch Newsletter, May 2006, Issue No. 52.