Description: Explanation of Medicare Advantage STAR rating program as it relates to payment rates for MA bids. Also describes important features of the program from an actuarial perspective, how the components of the STAR rating are calculated and implications and considerations for actuaries.

Description: The Society of Actuaries to fund a research proposal to investigate risk adjusters.

Description: Risk adjusters were first used for the Y2K reimbursements to Medicare+Choice laws. How did plans fare? What was the financial impact to the Medicare program? What changes are expected for the future? From Record of Society of Actuaries, Volume 26, No. 1. From Record of Society of Actuaries, Volume 26, No. 1: Las Vegas Spring Meeting, May 22-24, 2000, Session 125PD.

Description: Read the November 2016 issue of Health Watch published by the Health Section. Newsletters provide practical information for the working actuary, articles on trends that impact sections and news about section activities.

Description: Discusses effect of allowing companies to sell health insurance policy in any state, if approved in one state, without requiring approval in any other state.

Description: Why is it that two competent actuaries making reasonable assumptions can arrive at very different conclusions when evaluating the impact of proposed health care reforms? Are the answers really as different as they appear to be on the surface? This presentation from Session 137IF of the SOA 1996 Orlando Annual Meeting outlines and highlights some of the key actuarial issues that arise in the course of these analyses. From the Record of the Society of Actuaries, Vol. 22, No. 3.

Description: The PPACA imposed a market share-based health insurance provider fee, known as the "Section 9010 Fee", "Health Insurer Fee", or simply the "HIF", on each “covered entity” with net premiums written in excess of $25 million that is engaged in the business of providing health insurance coverage for U.S. health risks. This article provides background information to help unpack the language behind the Section 9010 Fee and highlights a few areas of special interest including merger and acquisition-related issues, application of the Section 9010 fee to expatriate plans, and considerations regarding fee administration.