Description: A glossary of terms.

Description: Essay reforming healthcare where participants have a vested interest in reaching the best answer.

Description: Risk adjustment is used to adjust the revenue stream to health insurers that sell ACA eligible plans and Medicare Advantage plans. This article compares and contrasts these risk adjustment programs.

Description: This paper identifies and discusses issues affecting retirees’ abilities to successfully navigate medical insurance choices after their employer retiree medical insurance group benefit plan has been terminated and replaced by an outsourced health reimbursement account (HRA) providing accessibility to a stipend through eligible medical insurance claims submissions.

Description: This article provides an introduction to the Medicare Prescription Drug, Improvement and Modernization Act of 2003 and looks at how the Medicare prescription drug plan will affect the commercial market as well as, what PDPs will offer for benefits and if any will offer supplemental benefits. From Health Section News, March 2005, Issue No. 49.

Description: An overview of the Medicare Supplement landscape and the critical factors for successfully pricing and managing this product line amidst the challenges that exist.

Description: This session discusses Medicare Supplement Insurance including claim cost experience and trend, Medicare Select issues and challenges, and meeting rate increase/profitability objectives. From the Record of the Society of Actuaries, Volume 29, No. 2, Session 7

Description: Research report sponsored by SOA to model and compare projected costs of different proposals for a Medicare prescription drug coverage plan. 3 types of costs are studied: net benefit cost estimates per member per month, continuance table data, and projected annual costs to the government over 10 years for two selected plan designs.

Description: Essay discussing cost, quality and access of healthcare and then describes the need for rationing.

Description: Summary of a talk by Robert J. Myers given at a recent meeting of the Baltimore Actuaries Club on revising the standard premium rate for Supplementary Medical Insurance.