Description: Panelists review the history of why Medicare has lacked prescription drug coverage and why some of the previous proposals have failed. The session then discusses drug coverage in Medicare Advantage, Medicare Supplemental plans and Part D. From the Record of the Society of Actuaries, Volume 30, No. 1, Session 106pd.

Description: Presented at May 2000 Spring Meeting. In this discussion, panelists examine: 1. Recently developed Medicare reimbursement methodologies, 2. Updates on existing methodologies, and 3. Historical and projected cost trends.

Description: Changes introduced by various Medicare Alternative Payment Models and the Medicare Access and CHIP Reauthorization Act (MACRA) have accelerated an existing market trend of shifting some of what has traditionally been considered “insurance risk” to providers. The Provider Risk Sharing Boot Camp will give attendees deeper insights into methods, current thinking, and alternative solutions that actuaries can use to help providers understand and manage the financial and actuarial risks that they are taking, many for the first time.

Description: This session is about compliance with NAIC requirements and Medicare-Select products. From Record of Society of Actuaries Vol. 19, No. 1B.

Description: This session from the 1983 SOA Vancouver Meeting discusses national health policy issues in the U.S. and the impact of these issues on the private health insurance business. Issues include health insurance for the unemployed, non-paying patients and cost shifting, competition versus regulation and DRG prospective pricing for Medicare.

Description: This session discussion is about Madison's and Reagan's influence on the constitution and government of the United States and how that impacts the future of the Medicare program. The traditional Medicare program complimented by Prudent Purchasing Reforms is compared to the Private Health Plan Option. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

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: 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: CMS provides a significant, and growing amount of information that can be leveraged by actuaries. Between the public use and research files CMS makes publicly available large amounts of information that can be assimilated to begin to understand the who, what, when, where, and how of Medicare. This session will focus on the depth and breadth of data available, summarize any restrictions on the use of the data, and identify areas where access to the new data can provide more meaningful insights than CMS's historical data sets.