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Putting the ACA Back Together Again
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A Look Back on Piecemeal Changes
For actuaries and all others interested in health reform, here is an excellent recap and summary of all the changes the historic law has undergone since its implementation. This article is the final installment in the SOA's Health Section Strategic Initiative "Commercial Health Care: What's Next?"
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Unprecedented Overhaul of U.S. Health Care
The proposal would eliminate employer-sponsored health insurance and move the U.S. to a single-payer system. While it appeared to have broad support initially, it has become divisive, even among Democrats. More here.
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A HOLISTIC APPROACH TO HEALTH
There's a growing emphasis on helping people with challenges that have nothing to do with medical care but everything to do with their health. Innovative efforts are focusing on such issues as nutrition, housing and transportation as a means to improve population health. Insurers, too, are building SDoH into their programs because they know it can lower costs.
Read.
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Industry Checkup: Health Insurance
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Operating in Uncertainty
The news coming out of Washington has kept the health insurance industry on it toes. Among other issues, Medicare for All, suspension of cost-sharing reduction payments, and the zero-ing out of federal penalties on individuals who don't have insurance have been big challenges for the industry. How is it doing today?
Learn more.
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Health Watch, the newsletter from the Society of Actuaries' Health Section, is now digital. Every article has its own webpage with active links to content. Plus,
each article is voice-enabled so you can read OR listen. The online version allows readers to adjust each page to fit the device they're viewing it on. Read it
here.
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The evolution of the
Affordable Care Act has been a steady stream of changes and challenges since becoming law nine years ago. Actuary and author Greg Fann says, despite choppy waters, the ACA's individual market is stable. What's ahead and where are rates headed?
High-deductible health plans (HDHPs) first came into being during the 1970s and were integrated into health policy in the early 2000s, alongside Health Savings Accounts and Health Reimbursement Accounts. Consumer choice and empowerment is a major tenet of HDHPs. But what exactly are they and how do they fit into the U.S. tax code? Listen to this primer in a podcast I did with expert Fritz Busch.
How do risk adjustment and
SDoH intersect with the
Medicaid market? In this podcast, Jackie Lee interviews expert Sudha Shenoy about how states are using new information to inform their risk adjustment calculations and claim cost projections.
Recent changes in the
Medicare Advantage market impact plan design and give insurers more flexibility This podcast describes the updates to plan benefits plus the hurdles plan sponsors need to overcome to implement the new value-based model.
Changes that impact the Affordable Care Act often occur so frequently they're had to keep up with. In this first of a two-part podcast, Kristi Bohn, a health actuary with the Minnesota Department of Commerce, unpacks
CSRs,
Section 1332 Waivers and recent case law.
In this second of a two-part series on keeping up with changes impacting the Affordable Care Act, Kristi Bohn discusses
AHPs, STLDs, and SHOP.
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David M. Dillon, FSA, MAAA, MS
Senior Vice President & Principal
Lewis & Ellis Actuaries and Consultants
700 S. Central Expressway,
Allen, TX 75013
(972) 850-0850
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