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Health Boot Camp: Medicare Advantage--Part C Pricing for MA-PD Plans, with some Part D

November 11-12, 2019

Las Vegas, NV

Registration closed.

  • Event Overview
  • Agenda
  • Hotel Information
  • Registration

Medicare Advantage:  Attendee List

 

Medicare Advantage evolves annually with new rule announcements and product changes, but these new developments do not lessen the actuaries’ workload or make things easier during the all-too-limited “bid season.” This course will cover recent changes to the bid instructions and other regulations that affect Bid Pricing Tool (BPT) development, the relationship between the Part C and D BPTs, as well as the Plan of Benefits Package (PBP).

This boot camp course has been offered annually for the past ten years and has emphasized Part C pricing with some coverage of Part D. This year, the course will be two days long with a primary focus on Part C and a half-day specifically dedicated to Part D. The course targets beginner/intermediate through intermediate level participants. Beginners are welcome but should thoroughly prepare prior to the course. All participants, regardless of level, are expected to complete assigned reading and preparation in advance of the course. 

Participants will work with Part C and Part D BPTs. Each BPT is a complex multi-sheet Excel workbook that CMS requires actuaries to develop and complete to submit a Medicare Advantage bid. All participants should familiarize themselves with the structure and worksheets for Part C and D BPTs prior to the course.

This course focuses on pricing, product knowledge and regulatory requirements that affect MA-PD.  Some HMO and/or PPO health pricing experience is a prerequisite for this course. Basic knowledge of fee-for-service Medicare program eligibility and benefits is also expected. Many advanced health pricing concepts will be addressed during the course. Attendees should have prerequisite knowledge of coordination of benefits, member cost-sharing, trends, and IBNR.

The course will include class discussion, as well as hands-on, in-class exercises conducted in small groups, which past participants have found highly useful. Participants should bring laptop computers and will work with peers to develop an MA BPT. MA-PD is a rigorously regulated product, and the pricing process is highly structured. Documentation, desk review and bid audits will be covered, as well as professionalism related to bid development and certification, the Code of Conduct, relevant ASOPs, and bid instructions.

Please note full session details will be provided to all registrants along with packet of reading materials in late October.  Program ends at 5 pm local time on Tuesday November 12, 2019.

 

Presenter(s)

Daniel W. Bailey, FSA, MAAA, MHP

Consulting Health Actuary

Acumen Actuarial LLC

Yucheng Feng FSA,MAAA

Director of Actuarial Services

Lumeris

Daniel S. Pribe, FSA, MAAA

VP and Chief Actuary

Lumeris

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MGM Grand
3799 Las Vegas Boulevard South
Las Vegas, NV

  • Guest room rates:
  • $150 Grand Tower Room (taxes not included)
  • $37 daily resort fee*

*Resort fee includes: Property-wide high-speed internet access, unlimited local and toll-free calls, airline boarding pass printing, notary service and cardio room access for guests 18+.

Reservations 

Make your reservations by Monday, October 21 online, or call +1-702-891-7468 and mention “Health Boot Camps.” Reservations made after this deadline are subject to space and rate availability. Any guaranteed reservation not canceled 72 hours prior to arrival will be subject to hotel cancellation fees.

Early Departures 

During check-in, all guests will be asked to verify their departure date. Changes can be made at that time without penalty.

Confirmations 

Confirmation of your hotel reservation is provided by the hotel. If you have not received a confirmation number prior to your departure for Las Vegas, please call the hotel to make sure your reservation is in order.

Hotel Check-in and Checkout 

Check-in time is 3:00 p.m. and checkout time is 11:00 a.m. Those arriving early may check their bags with the bell desk in the hotel lobby.

Parking is available at a rate of $24 per day.

Location 

Taxi assistance is available 24 hours a day from the MGM Grand main entrance. You may ask any of the MGM Grand door persons for assistance. SuperShuttle airport shuttles are readily available at the MGM Grand main entrance. One-way shuttle tickets are $11per person,  payable to the shuttle driver at departure time. Advance airport shuttle tickets and reservations can be made directly with SuperShuttle or through the MGM Grand concierge.

Travel 

AmTrav Corporate Travel is the Society of Actuaries’ official travel agency. AmTrav is focused on providing cost savings and enhanced travel services. Call AmTrav at 1+866-284-5774 or visit online at www.amtrav.com.

.

Registration Fee

The registration fee includes Boot Camp materials, breakfast, luncheon and refreshment breaks. Register by October 11 to take advantage of EARLY BIRD REGISTRATION. Registration rates increase $300 after October 11.

Boot Camp Registration Fees (Two Full Days)

  Received By 10/11 Received After 10/11
Member $1,100 $1,400
Non-Member $1,400 $1,700

Registration Options

Online (credit card required):

Online registration is available through November 8.

For information regarding check payment, please send this form to SOA Customer Service.

PLEASE ALLOW 10 DAYS FOR RECEIPT AND PROCESSING OF CHECKS.

Full payment is required at time of registration.

Confirmation

Order confirmations are emailed upon completion of registration. If you do not receive a confirmation, please go to this page and log in to confirm your order was placed. To request another copy of the confirmation order or to update the registration, please contact Customer Service at customerservice@soa.org.

Refunds

SOA incurs significant expenses prior to an event. To minimize losses, SOA maintains the following refund and cancellation policy:

  • Prior to Monday, October 28, you may cancel your registration for a full refund, less a $100 administrative fee.
  • After Monday, October 28, no refunds will be provided. You may transfer your registration to another SOA meeting or seminar within one calendar year of the original meeting or seminar. However, you will be responsible for any differences in rates and/or fees.
  • An alternate attendee within the same organization may be substituted at any time prior to the conference start with no penalty. However, if the original attendee is a member and the substitute attendee is not, the difference in member and non-member rates must be paid in full at time of substitution.
  • The Society of Actuaries reserves the right to cancel any event if conditions warrant. In the event of cancellation, registration fees will be refunded in full. The Society of Actuaries is not responsible for any airfare or hotel cancellation fees that an attendee may incur due to event cancellation.

 

To cancel an order, log in to My SOA, choose the item you wish to cancel from your order summary, and click the cancellation button. Complete the form to submit your refund request.

 

    Event Details

  • Venue:

    MGM Grand
    3799 Las Vegas Blvd S Las Vegas, NV 89109-4319

  • Competency:
    • External Forces and Industry Knowledge
    • Professional Values
    • Technical Skill And Analytical Problem Solving
  • Credit:

    19.20 SOA CPD

    16.00 CIA

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