Chairperson's corner article communicating the accomplishments and next steps for the LTC Section Council.

This is a presentation on long term care statistics, home care & facility providers, and payers. From The 7th Annual Intercompany LTCi Conference, Session 47 stats,home care, nursing facilities

This session will cover both private long-term care insurance and the managed long-term care programs of Medicare Advantage organizations for members who are eligible for both Medicare and Medicaid. It includes a discussion on Special Needs Plans - SNPS and the Program of all Inclusive Care for the Elderly - PACE. From the SOA 2008 Annual Meeting & Exhibit, Session 91

This session will explore the potential for long term care Partnership Medicaid savings from various perspectives, including the states that have had Partnership programs for many years, and the Department of Health and Human Services and the passage of the Deficit Reduction Act of 2005 - DRA. From the SOA 2008 Annual Meeting & Exhibit, Session 93

Presentation from the 2009 Health Spring Meeting. Describes pictorially how the LTC financing problem is a matter of perspective, yet its importance is recognized and likely to require a government solution. Discusses some Medicaid programs addressing the issue. Questions whether a solution will be a part of health care reform.

The next big savings opportunity for managing Medicaid costs is Managed Medicaid Long Term Care. Long Term Care costs account for 34% of the Medicaid budget nationwide. With baby boomers aging, Long Term Care enrollment will only grow. Different states have tried different programs to manage this cost and we are seeing it work well in some states, but not so well in others. Actuaries are often asked to help design viable Managed Medicaid Long Term Care programs, determine the financial viability of programs for managed care companies, and of course, set the rates for these programs as required by CMS’s need for an actuarial certification. This session will describe the intricacies and design of Managed Medicaid Long Term Care programs, provide information on what has historically worked to save costs and what hasn’t, and detail items to consider and understand when setting actuarially sound rates for these programs. From the SOA 2010 Health Meeting, Session 39

Presented at the 2009 Health Spring Meeting and moderated by Mr. Bailey. Provides an overview of community-bassed managed long-term care programs having a focus on dual-eligibles. The second presentation provides an overview of SCHIP

The next big savings opportunity for managing Medicaid costs is Managed Medicaid Long Term Care. Long Term Care costs account for 34% of the Medicaid budget nationwide. With baby boomers aging, Long Term Care enrollment will only grow. Different states have tried different programs to manage this cost and we are seeing it work well in some states, but not so well in others. Actuaries are often asked to help design viable Managed Medicaid Long Term Care programs, determine the financial viability of programs for managed care companies, and of course, set the rates for these programs as required by CMS’s need for an actuarial certification. This session will describe the intricacies and design of Managed Medicaid Long Term Care programs, provide information on what has historically worked to save costs and what hasn’t, and detail items to consider and understand when setting actuarially sound rates for these programs. From the SOA 2010 Health Meeting, Session 39

Presented at the 2009 Health Spring Meeting and moderated by Mr. Bailey. Provides an overview of community-bassed managed long-term care programs having a focus on dual-eligibles. The second presentation provides an overview of SCHIP

Presentation from the 2009 Health Spring Meeting. Describes pictorially how the LTC financing problem is a matter of perspective, yet its importance is recognized and likely to require a government solution. Discusses some Medicaid programs addressing the issue. Questions whether a solution will be a part of health care reform.