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: Discussion of state medicaid expansion due to provisions of the Affordable Care Act.

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: Essay stating accessibility, affordability and efficiency are the key to success in the future of healthcare.

Description: Essay discussing cost, quality and access of healthcare and then describes the need for rationing.

Description: This study was sponsored by the Society of Actuaries Health Section. This paper explores the relative significance of aging as a determinant of financial cost of health care beyond age 50, with particular attention to the effect for ages 65 and older. The paper presents concepts of aging factors and aging curves, which define relative values between ages for utilization or cost of health care services. General conclusions are drawn from Medicare data that utilization and cost differ by age, but that aging factors vary across services and may be less significant at very old ages. The author then turns to the question of measuring the significance of an aging curve assumption and what accuracy is lost in the simpler alternative of a single value across an age range.

Description: This is an article explaining the options employers have under the Medicare Part D, or the Prescription Drug Improvement and Medicare Modernization Act - MMA - that took effect in January 2006. The article discusses 4 options under the MMA with the advantages and disadvantages of each.

Description: A glossary of terms.

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.