Description: At this presentation from Session 46PD of the SOA 1996 Colorado Springs Meeting, the panelists discuss sources of profit/potential risks for a company entering into Medicare or Medicaid risk contracts. From the Record of the Society of Actuaries, Vol. 22, No. 2.

Description: This presentation from Session 98PD of the SOA 1997 Washington Annual Meeting discusses the reforms that have been evolving in the Medicare program, the participation of Health Maintenance Organizations and the insurance industry in the managed Medicare market, and the response of Medicare enrollees to these programs. Both Medicare Risk and Medicare Select programs are discussed. From the Record of the Society of Actuaries, Vol. 23, No. 3.

Description: Panelists discuss key aspects of recent and pending laws and the cost and design implications on group health plans. From the Record of the Society of Actuaries, Vol. 24, No. 2.

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: Strategies to position Medicare Advantage plans for success during August resubmission.

Description: This article examines the concept of Actuarial Value, especially as it applies to the Medicare plan of benefits. It discusses the cost-sharing responsibility of Medicare beneficiaries and the means by which they mitigate this risk.

Description: Overview of standard Medicare plan design. Overview of Medicare funding. Overview of Medicare supplemental and alternative products.

Description: Chairperson's corner for January 2020 In the Public Interest.

Description: Medicare Advantage Organizations must consider influences both internal and external to the adjudication process as they review and use data for bid preparation

Description: Discussion of recent laws and regulatory changes that have provided Medicare Advantage plans greater flexibility in benefit offerings and plan designs.