Description: Court cases demonstrating how ERISA Preemption Clause makes it difficult for members to sue Managed Care Organizations MCOs. Issue No. 41.

Description: This article deeply examines Pay-for-performance and presents curious findings through the lens of unwarranted variation. From Heath Watch Newsletter, May 2006, Issue No. 52.

Description: Part II of a two-part series discussing individual market evolution from before the ACA through President Trump's first term.

Description: Discussion of direct primary care and how it helps with several challenges in health care today. DPC improves care coordination, improves outcomes, improves doctor and patient satisfaction, and reduces spending. DPC successes promote the view that primary care should not be covered by insurance; rather, it should be paid for directly.

Description: Part I of a two-part series concerning the evolution of the individual market. It begins with background, discusses present markets and 2018 regulations.

Description: Excerpts from a conversation with Alan Mills regarding his work in complexity science and agent-based modeling.

Description: This article outlines what the author learned from the Sixth Annual Quality Colloquium at Harvard. From Health Watch, January 2008, Issue No. 57.

Description: Disease Management and the impact of overlap, co-morbidity on determining cost savings and employer buy-in. Issue No. 37.

Description: An economics professor and a health care consumer advocate weigh in on the Patient Protection and Affordable Care Act, including implementation issues, directions for the future and what role actuaries shoudl take.

Description: This is a regular column highlighting articles of interest to Health Actuaries appearing in the North American Actuarial Journal.