Description: Summarizes the Medicare Prescription Drug, Improvement and Modernization Act of 2003, MMA. Focuses on changes to the Medicare Advantage, MA, program and the market reaction to date.

Description: This session is about Medicare resource-based relative schedule [RBRVS], volume performance standards and balance billing limits. From Record of Society of Actuaries Vol. 19, No. 1.

Description: This session discusses Medicare Supplement Insurance including claim cost experience and trend, Medicare Select issues and challenges, and meeting rate increase/profitability objectives. From the Record of the Society of Actuaries, Volume 29, No. 2, Session 7

Description: This article provides an introduction to the Medicare Prescription Drug, Improvement and Modernization Act of 2003 and looks at how the Medicare prescription drug plan will affect the commercial market as well as, what PDPs will offer for benefits and if any will offer supplemental benefits. From Health Section News, March 2005, Issue No. 49.

Description: This article discusses planning for the changes that will occur with the new Medigap policies, which will be effective on or after June 1, 2010. Issue No. 60

Description: A summary of the driving forces behind, and effects of, the historical increases and future expectations of Generic Dispensing Rates.

Description: An overview of the Medicare Supplement landscape and the critical factors for successfully pricing and managing this product line amidst the challenges that exist.

Description: This article focuses on the capitation rate development methodology for the Medicare-Medicaid Financial Alignment Demonstration. It also describes the background behind the establishment of the initiative and how it will be evaluated.

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: High points of AcademyHealth’s LTC group policy seminar are discussed, including the relationship between post-acute care PAC and long-term care bundling PAC payments and the implications of research in this area of long-term care.