Description: An analysis of the 1999-2011 experience of all Blues plans of betweeen $1.8 and $3.8 billion in annual revenue in 2010 to determine if there is any empirical evidence of an industry underwriting cycle. The analysis shows there is no such evidence.

Description: Diagnostic coding in dental is in its infancy. This article explores the use of medical diagnostic coding and how it may transform dental care in various ways.

Description: Many executives are talking about predictive analytics uses in health insurance.

Description: Surplus and the ACA

Description: Affordable Care Act and Payment Reform

Description: ACA Impact on Employers

Description: This article discusses the challenges and unknowns relating to the regulatory inclusion of pediatric dental benefits within the essential benefits list of the Affordable Care Act (ACA).

Description: This article provides a detailed description of the unbalanced subsidy provisions in the Affordable Care Act with easy to follow numerical illustrations. An understanding of the illustrative calculations is necessary to understand the subsidy implications. The article highlights some surprising and likely unintended results that will be interest to issuers, employers, consumers, regulators and policymakers. Actuaries can add expertise to their clients and to the public discussion with a proper understanding of the subsidy calculations and the resulting implications.

Description: Epilogue to ACA@5 publication

Description: Article is about a new course developed in actuarial science taught at Columbia University. Course covers traditional health actuarial projects but is expanded to cover issues for a health insurance company executive (e.g., CEO, CFO, etc.). The course also includes studying of other international healthcare systems plus healthcare reform (PPACA). Students were involved in research projects, including healthcare reform and international health systems. Students also had to teach a course as part of their final exam.