Description: The U.S. health care system continues to have its problems. It costs too much and even with public policy developments we are not meeting the desired objectives. What's next? What else can we do? Discuss some of the emerging ideas that are being pursued and the likelihood of their success at solving our collective problem.

Description: With there being over 11 million undocumented immigrants in the United States, some states are considering or have expanded Medicaid-like coverage to this population. Healthier Oregon launched in July 2022 to provide such benefits, and now covers more than 20,000 Oregonians. Hear about the structure of the program, along with its capitation rate build (which integrates federal participation for emergency and pregnancy-related services), risk corridor design, and related policy and implementation considerations. After attending this session, you will gain an understanding of the actuarial, regulatory and practical considerations for covering this population through managed care.

Description: A glossary of terms.

Description: Chapter 10 of the Models for Retirement Policy Analysis. This chapter describes the Macroeconomic-Demographic Model of the U.S. Retirement Income System used to investigate alternative approaches to investment of the OASDI trust funds.

Description: Transcript of the Q&A period from general session 2.

Description: This discussion on Social Security examined questions related to the 1950 amendments including the effect on the beneficiary population, issues with including life insurance agents, and the affect on agent pension plans. Also, prospects for a disability program within Social Security, the impact of the proposed Canadian Old Age Pension program, and problems relative to the British Columbia hospitilization plan are discussed.

Description: This article from the Digest of Informal Discussion, Transactions of Society of Actuaries 1956 Volume 8, Number 20, identifies the participants and summarizes their comments. The discussion topics include proposed legislation to provide disability benefits under OASI, the proposal to lower the OASI retirement age for women from 65 to 62, the advantages and disadvantages of bringing the personnel of the U.S. armed forces under OASI, coverage of state and municipal employees, and developments in Canada.

Description: Summarizes Actuarial Note No. 100, Actuarial Studies No. 80 and No. 81 - published in Feb. and April 1980.

Description: Read the August 2017 issue of In The Public Interest published by the Social Insurance & Public Finance Section.

Description: Risk adjustment (RA) is a key component for CMS Medicare Advantage program and California Medicaid Managed Care program. While both RA programs follow generally accepted basic principles at a high level, their underlying methodologies and assumptions are also quite different. Due to recent events such as COVID-19 Public Health Emergency and Medicaid redetermination delay and restart, it adds complexity to Risk Adjustment. This is a hot topic in the industry and has significant impact to health plans. Keeping current with risk adjustment program changes and understanding the commonalities and differences of these two government risk adjustment programs is important to our health actuaries. Compare these two risk adjustment programs so you can learn key elements of a risk adjustment program, similarities and differences in methodology and assumptions , as well as special considerations due to serving different populations.