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 focused on Health Insurance Minimum Loss Ratio Regulation. Topics include: 1. The NAIC minimum loss ratio guidelines. 2. Loss ratios viewed from the regulatory side. 3. Recent developments in certain states. From Record of Society of Actuaries, 1981 Vol. 7, No. 3.

Description: This session at a SOA 1990 Spring Meeting focuses on group health insurance including discussion of financial projections, calculating reserves, claims control and management reports.

Description: This session is about appointed actuary issues for the health actuary including cash-flow testing, asset valuation and risk-based capital. From Record of Society of Actuary Vol. 19, No. 4B.

Description: This session is targeted for new ASAs/FSAs or actuaries who are new to reserving. The session will be delivered in two parts. The first part is intended to deliver a basic understanding of IBNR reserving and different reserving methods and assumptions. We will go through examples of constructing claims triangles and developing completion factors, while exploring concepts such as seasonality, trend and outlier claims. During the second part of the session, we will apply the material from the first part to look at various example from different products such as inpatient, outpatient, RX, Medicare Supplement, dental, critical illness, etc.

Description: In this session on the topic of health insurance valuation issues, the topics covered included Sarbanes-Oxley considerations, internal replacement Standards of Practice, self-funded plans, and long-term-care insurance developments. From a session at the Health/Pension Spring Meeting held in New Orleans, Louisiana June 15-17, 2005.

Description: Facilitators lead a discussion of recent experiences and current issues regarding the valuation of medical and dental insurance and managed care products. Includes a discussion of deficiency reserves, HMO reserving, liquidity tests, cashflow testing and codification of regulations. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 132

Description: Panelists at this session of the SOA 2001 Annual Meeting discuss pricing issues and business risks associated with life, annuity, medical expense and disability income insurance products and compare them to long-term care [LTC].

Description: This session is about appraisals of blocks of health business: issues to consider, building a model, setting assumptions and ASB requirements. From Record of Society of Actuaries Vol. 19, No. 1A.

Description: Provides a how-to session on modeling assets and liabilities in the Valuation Actuary's work to comply with the Standard Valuation Law. Comparisons of the methods discussed are occasionally made with the requirements of New York Regulation 126. Session 12 of the 1991 Valuation Actuary Symposium.