Availability
In-StockISBN
No ISBN Data foundCurrency
All prices shown in USDDigital Terms
Click here to view our digital terms.A new product will be added to your cart each time you click the Product button. If additional options exist (checkboxes) to further customize your product and you'd like to choose one of the them, please select the option before clicking the product button to add to your cart. Click here to edit your cart.
This textbook is on the SOA required reading list for SOA CP 321 exam.
The advent of federal healthcare reform in the United States has thrust individual health insurance into the limelight as never before. The marketplace for individuals not covered by an employer plan has changed fundamentally in the past few years, with significant new risks and opportunities for the stakeholders involved. Health insurers must quickly develop and implement new strategies to succeed in the post-reform world. At the same time, all other aspects of healthcare also continue to evolve rapidly, not only because of reform efforts, but also because of demographic changes, technological advances, and other forces.
This second edition of Individual Health Insurance has been updated for the vast—and still-unfolding—tapestry of changes made by the Affordable Care Act. At the same time, it also features updated and expanded material on many other topics, such as Medicare Advantage and Part D. The authors are internationally known experts on individual health insurance, and their knowledge was supplemented with specialized expertise from several colleagues.
This book covers the history of the individual marketplace, the role of government health policy, products currently available, regulation, and all aspects of the development and management of this business. It is a valuable comprehensive resource for those working in the field, whether they are actuaries, managers of payors or providers, or policymakers
About the Authors
William F. Bluhm
William F. Bluhm, recently retired as a Principal and Consulting Actuary with Milliman in Minneapolis. Bill joined that firm in 1983, when he opened the Albany office, and has been in Minneapolis since 1987. Bill spent his career in the health insurance field, working with insurers, health benefit providers, and governments. In that time, he was a frequent speaker and award-winning author. He was Principal Editor of the first six editions of the well-known and highly regarded textbook, Group Insurance. Many of his works have been required reading on the Society of Actuaries’ exam syllabus. Bill is a past Board Member for the Society of Actuaries, the Conference of Consulting Actuaries, and the American Academy of Actuaries, as well as Past President of the latter two. Bill was also recently awarded a Lifetime Achievement Award by his colleagues at the Conference of Consulting Actuaries. Currently Bill and his wife, Christine, run their winery, Dancing Dragonfly Winery, in St. Croix Falls, WI.
Hans K. Leida
Hans K. Leida is a Principal and Consulting Actuary with Milliman. He joined the firm in 2006 after completing a PhD in mathematics at the University of Wisconsin-Madison. Hans is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries. Hans has a great deal of experience with group and individual commercial major medical coverage, as well as Medicare Supplement and Medi- x care Advantage plans. Recently, he has been helping clients navigate the changes made by the Patient Protection and Affordable Care Act’s healthcare reforms. Hans is a frequent speaker and prolific writer on healthcare reform, and he is regularly quoted on that topic by the media, including in The Wall Street Journal, Reuters, Bloomberg Businessweek, and Modern Healthcare. In 2007, Hans co-authored a paper for America’s Health Insurance Plans (AHIP) on the impact of guaranteed issue and community rating laws adopted by certain states in the 1990s. That paper, which was updated in 2012, has been widely cited with the advent of federal healthcare reform, most notably by the Chief Justice of the U.S. Supreme Court in his opinion on the case regarding availability of premium subsidies in federal exchange states (King v. Burwell). Hans also has significant experience with risk adjustment and predictive modeling of healthcare costs, and created the prescription drug-based risk adjuster included in the Milliman Advanced Risk Adjusters (MARA) software product. Hans lives in Minnesota with his wife Sarah and their three very active little boys, Levi, Sam, and Miles.