Description: This short article presents the latest SOA health research report on alternative payment models for high-cost curative therapies.

Description: Update from the Health Section Council Chairperson on council activities.

Description: A look back at 2024, reviewing and highlighting the things that the SOA Health Section Council accomplished, including education, research, webcasts, networking, and a new Health Section Council action plan that will be used on an ongoing basis to target, track, and measure areas of focus for the council, to better serve membership.

Description: The coming wave of biosimilars could dramatically affect prescription drug costs and benefit strategies over the next several years. The launch of many Humira biosimilars in 2023 is the Big Event that will largely determine the impact of the biosimilar wave. Payers have many decisions to make about coverage and formulary tiers. What factors will drive payer decision-making?

Description: Methods and assumptions used in the valuation of savings by external care vendors

Description: Update on Affordable Care Act topics, including Section 1332 waivers, Association Health Plans, silver loading and cost sharing reductions.

Description: This article discusses the court cases dealing with the severability of the individual mandate from the Affordable Care Act. Severability is related to essentiality, and actuarial input was relied upon to determine essentiality. The article concludes with lessons that actuaries should learn from the legal proceedings.

Description: A discussion of outrageous, criminal and soft fraud in health insurance.

Description: Letter to the Editor by Mark Troutman from Health Section News, September 2001, Issue No. 41.

Description: Chairperson’s Corner by Leigh M. Wachenheim from Health Section News, September 2001, Issue No. 41.