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22Feb2013
Keep up with Health Care Reform—Provider Payment Reform Seminar
There is substantive activity on payment and system reform across the health care landscape. This includes major initiatives like Accountable Care Organizations and Patient Centered Medical Homes, wit
Read MoreLeave a Comment08Jan2013
Cost of the Newly Insured Under the Affordable Care Act
The Society of Actuaries is pleased to make available draft material examining the cost of the newly insured under the Affordable Care Act. The draft material is being exposed for a comment period bef
Read MoreView Comments (1)05Dec2012
Just Announced: ACA Proposed Rules Webinar Series, Dec. 10, 13, 14
Sign up by Dec. 7 for this new webinar series, sponsored by the SOA, the American Academy of Actuaries and the SOA Health Section. The series, geared to health actuaries and anyone interested in or im
Read MoreLeave a Comment14Sep2012
A serious side effect of new specialty drugs … higher costs
When I read about recent leaps and bounds in the pharmaceutical industry, there is a level of excitement and hope for those suffering from debilitating and deadly afflictions. However, as articles by
Read MoreView Comments (1)10May2012
ACOs and Gainsharing: What was old is new again
by Jim Toole, managing director, life & health, FTI Consulting Accountable Care Organizations (ACOs) bring hospitals and physicians together as a risk bearing entity, aligning incentives betwee
Read MoreLeave a Comment20Apr2012
Actuaries: Turn wellness from a dream into a real business advantage
by Andrew Sykes, Health at Work Wellness Actuaries Hardly a day goes by without another report of the possible and positive returns on investment available from wellness programs. Yet, with few exc
Read MoreView Comments (1)11Apr2012
Fiscal Effects of the Affordable Care Act
by Ian Duncan, University of California - Santa Barbara An important new paper by Charles Blahous of George Mason University (and a Social Security and Medicare Trustee) has just been published.
Read MoreLeave a Comment27Mar2012
Actuarial principles at play in Supreme Court health care case
by Sara Teppema, SOA senior staff fellow, practice research On Tuesday of this week, the U.S. Supreme Court wrapped up the second of four sets of arguments in the historic case involving the 2010
Read MoreView Comments (6)26Mar2012
National health expenditures
by Richard S. Foster, chief actuary, Centers for Medicare and Medicaid Services Annually, in early January, much attention is paid to the release of U.S. National Health Expenditures (NHE) from the
Read MoreLeave a Comment07Mar2012
Have provider networks and network discounts outlived their value?
by Shiraz Jetha, FSA, CERA, MAAA Provider networks originally started as a way to control patient steerage to network providers in return for price discounts. In other words, lower price for antici
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