Description: The class involves a combination of presentations, class participation, in-class exercises and structured hands-on work with the MA BPT in small workgroups. Prior to this course, participants are expected to spend 3 to 10 hours preparing, depending on prior experience level.

Description: This session at the 1998 Valuation Actuary Symposium risk based capital for health organizations with focus on a new formula for managed care organizations and companies.

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: Panelists discuss current issues and trends impacting health plan contracting with providers. Hospital and physician contracting is discussed from both a payer's and provider's persepctive. From the Record of the Society of Actuaries, Volume 30, No. 1, Session 30

Description: Panelists discuss recent developments that may impact health care costs over the next few years, such as: · Trends in research and treatment for various diseases · Advances in diagnoses, therapies, and medications · Various clinical trials From the Record of the Society of Actuaries, Volume 27, No. 1, Session 73

Description: This session at the 1997 Valuation Actuary Symposium discusses the history and current isses with Risk Based Capital as it applies to health insurance.

Description: This discussion at the SOA 1990 San Francisco Spring Meeting covers living benefit riders including benefit designs, regulatory activity, tax status, pricing considerations and reserves.

Description: The panel offers a summary of the Medicare Modernization Act signed into law in 2003, which implemented sweeping changes to the Medicare program. Topics include Medicare Advantage, the impact on Medicare Supplement, Part D, and the impact on retiree health plans. From Record of Society of Actuaries, Vol. 30, No. 3, Session 127

Description: The session discussion is valuation and reserving issues with regards to group medical - including HMOs, and individual medical - including disability and long-term care. From Record of Society of Actuaries Vol. 16, No. 4B.

Description: Panelelists at this session of the SOA 1998 Maui II Spring Meeting discuss the current use of risk adjusters to spread risk among various helath carriers and health plans, and whether the system is effective and equitable.