Description: Interview of people knowledgeable about risk adjustment and the use of social determinants of health with that context for Medicaid.

Description: The traditional informal care of/by family has faced increasing geographic and economic challenges from changing family households and sources of family income. Financial planning and risk protection tools provide important resource in the changing retirement landscape toward optimal family support and crisis management, that is, with less duress and financial burden to affected family caregivers. Ultimately, maintaining family values and close communications through evolving family structures are key to a healthy society and economic welfare of the people.

Description: This article reviews studies find that the mortality gap has significantly reduced – though not eliminated – the overall progressivity of Social Security.

Description: A description of the changes to Social Security that will occur in 2019.

Description: "The always popular Medicaid Hot Topics session is back with discussions from an expert panelist on the most riveting Medicaid topics of the year. These could include the following: • ACA court battles - what are the potential impacts on Medicaid? • CMS continues to open the door for state flexibility - just what can states now do differently?• Where are we on Medicaid work requirements? • How will the changes to the mega-rule impact Medicaid?• High cost drugs and how states are sharing risk for them (carve-out, risk pools, risk sharing)• And more current topics of interest to Medicaid actuaries!Medicaid is dynamic and it is difficult to stay up to date on all of the changes. This session provides insightful discussion into the major changes that impact actuaries and their companies or state clients"

Description: As baby boomers continue aging into Medicare, prescription drug plans (PDPs) will continue to be an option to meet prescription drug needs. Several new PDPs introduced in 2019 address these needs, and we will share our experiences with implementing, pricing and operationalizing a new PDP, including how this product integrates across the enterprise. While we will discuss topics specific to launching a PDP, several of the concepts can be generalized to starting other insurance product lines within an organization.

Description: Letter from the editor urging section members to participate in section activities.

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