Bests Review ranks Lewis and Ellis among the top health actuarial firms in the U.S. and Canada.
Q1 2019

Greetings! The first quarter of the year has passed with the blink of the eye and we're quickly approaching the 2019 Society of Actuaries' Health Meeting, June 24-26 in Phoenix. I anticipate another great gathering, full of opportunities to connect and learn. Here's the agenda . On Monday afternoon, June 24, I'll be moderating  Session 033: Regulatory Roundtable. And on Wednesday morning, June 26, I'll be presenting at  Session 127: Actuarial Professionalism: You Can't Handle the Truth!  Email me if you have questions - [email protected] . I hope to see you there.
Putting the ACA Back Together Again
A Look Back on Piecemeal Changes
 
A review of the many changes impacting the ACA
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?"
Medicare for All
Unprecedented Overhaul of U.S. Health Care
 
Medicare for All has become a divisive issue even among Democrats.
A HOLISTIC APPROACH TO HEALTH
Resources are being directed to helping people with challenges that have nothing to do with medical care but everything to do with their 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.
Industry Checkup: Health Insurance
Operating in Uncertainty
 
How is the health insurance industry faring in these constantly changing times__
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.  
Media Coverage
media coverage on CNBC

media coverage in U.S. News _ World Report



media coverage in WebMD

Reminder
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.

Podcasts
 
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?  
Listen.  
 
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.
Listen.  
 
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.
  Listen. 
 
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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