Description: Panelists discuss emerging valuation-actuary-related issues, including: [1] for long-term-care insurance [LTCI], reserves, risk-based capital [RBC], and new experience forms, [2] for Medicare Part D, several potential future changes, and [3] for health insurance in general, the new Statement of Standard Accounting Practice 85 [SSAP 85] and existing SSAP 84, and current activities of the International Accounting Standards Board [IASB] regarding a definition of 'insurance.' Session 27PD of the 2005 Valuation Actuary Symposium.

Description: Panel discusses a variety of current issues in the senior health-care marketplace, including the effects of current, pending, and proposed Medicare changes. From the Record of the Society of Actuaries, Vol. 25, No. 3.

Description: This session on Medicare+Choice [M+C] includes an update on risk adjustment methodology, legislative developments that are impacting the M+C program and measures taken by health-care companies to adapt to those changes. From the Record of the Society of Actuaries, Volume 29, No. 2, Session 82pd.

Description: Changes introduced by various Medicare Alternative Payment Models and the Medicare Access and CHIP Reauthorization Act (MACRA) have accelerated an existing market trend of shifting some of what has traditionally been considered “insurance risk” to providers. The Provider Risk Sharing Boot Camp will give attendees deeper insights into methods, current thinking, and alternative solutions that actuaries can use to help providers understand and manage the financial and actuarial risks that they are taking, many for the first time.

Description: This session discusses the key issues in the Medicare reform debate and the direction of future change. Topics include Medicare + Choice and the employer perspective. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 5pd.

Description: This presentation included discussions on AAA Medicare Reform Task Force, the 2000 Medicare Technical Advisory Panel's review of HCFA's Medicare projections, and prescription drug coverage. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 7

Description: The presentation discusses the history of the Medicare+Choice [M+C] program and the challenges faced by plans offering the program, as well as the challenges faced by those interested in entering the program. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 60

Description: Panelists explore issues facing carriers of Medicare Supplement products, including high trend, fixed designs, limited underwriting ability, legislation, National Association of Insurance Commissioners [NAIC] pursuits, and the American Academy of Actuaries [AAA] task force. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 66

Description: In session 26PD of the 2004 Valuation Actuary Symposium, discussed is how the new Medicare prescription drug legislation creates a number of issues for employers and managed-care plans. Employers must determine the impact of the legislation on their retiree prescription drug costs, evaluate options for plan design and make decisions about how to reflect the effect of the legislation in their FAS 106 valuations. Managed-care plans need to review the effect of the legislation on plan design, statutory filings and financial reporting for their Medicare products.

Description: This session from the 1983 SOA Vancouver Meeting discusses national health policy issues in the U.S. and the impact of these issues on the private health insurance business. Issues include health insurance for the unemployed, non-paying patients and cost shifting, competition versus regulation and DRG prospective pricing for Medicare.