Description: A Mexican actuary discusses his career, the challenges of different insurance markets in different cultures, the value of sharing knowledge across countries and across professions, and the latest public policy regarding solvency models.

Description: This is the complete January 2012 issue of Health Watch.

Description: This article discusses the use of parametric distributions to model health care cost.

Description: Background on Medicaid and description of recent changes in the program.

Description: Presents a step-by-step methodology for calculating confidence intervals for IBNR estimates derived using the Averaqe PMPM method. It is a companion article to the January 2023 Health Watch article presenting the Average PMPM method for generating point estimates of IBNR with zero claims runout.

Description: Cost sharing reduction (CSR) payments are offered to low-income individual insurance buyers under the ACA. After October 2017, the difference in costs between the standard silver plan and CSR variants were defunded. To cover the costs of defunding, insurers have increased rates either through "broad loading" or "silver loading." States are approaching this adjustment differently, which is leading to some interesting differences between states. This article will review these differences.