Description: This article highlights several state's Medicaid innovatioins, including cutting edge payment changes based on episodes of care, patient outcomes, and quality metrics.

Description: An edited written interview with two actuaries and a public health professional on issues related to the intersection between the two fields.

Description: Essay offers a vision of health care where everyone is covered, everyone is eligible, receives fair pricing, receives vital information and is taxed the same.

Description: Feature article describing the history and current state of the Medicare program.

Description: A discussion of the impact of the June, 2012 U.S. Supreme Court decision on Medicaid expansion and the financial impications for states.

Description: "The always popular Medicaid Hot Topics session is back with discussions from an expert panelist on the most riveting Medicaid topics of the year. These could include the following: • ACA court battles - what are the potential impacts on Medicaid? • CMS continues to open the door for state flexibility - just what can states now do differently?• Where are we on Medicaid work requirements? • How will the changes to the mega-rule impact Medicaid?• High cost drugs and how states are sharing risk for them (carve-out, risk pools, risk sharing)• And more current topics of interest to Medicaid actuaries!Medicaid is dynamic and it is difficult to stay up to date on all of the changes. This session provides insightful discussion into the major changes that impact actuaries and their companies or state clients"

Description: COVID-19 is causing changes to nursing homes that will last beyond the pandemic. Nursing homes serve Medicare and Medicaid beneficiaries; so, in the public interest, we should consider how changes to nursing homes might impact these populations.

Description: This paper proposes, for long-term care, a new funding model in which social insurance and private insurance will pay for the bulk of the costs, supplemented by personal payment. If these sources fail, public welfare will serve as a safety net.

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 116PD of the SOA 1996 Orlando Annual Meeting provides an update of the current status of Medicaid reform efforts by the White House and Congress. From the Record of the Society of Actuaries, Vol. 22, No. 3.