Description: Explanation of Medicare Advantage STAR rating program as it relates to payment rates for MA bids. Also describes important features of the program from an actuarial perspective, how the components of the STAR rating are calculated and implications and considerations for actuaries.

Description: This session discusses disease management [DM] and the role of health actuaries versus economists and biostatisticians. Topics discussed include economics of DM, epidemiology strategies, and operational concerns. From the Record of the Society of Actuaries, Volume 29, No. 2, Session 21pd.

Description: Overview on current trends in medical practice impacting the LTC insurance business with a focus on dementia, risk stratification, and predictive modeling.

Description: Summary of results of a 2010 Health Section survey of actuaries and Medicare population, on ways to bend the cost trend curve downward. Issues included transparency, quality measures, fraud and abuse, provider payment, malpractice, medical errors, consumer education, and the pros and cons of employer-sponsored coverage.

Description: The winner's curse, applied to Affordable Care Act plan pricing.

Description: Overview of market trends impacting the group benefits space in Canada and the implications for insures as they prepare for future evolving industry dynamics.

Description: This purpose of this session is to discuss strategies used by health insuring organizations and their likelihood for success. Topics include alternate delivery systems and managed care. From Record of the Society of Actuaries 1988 Vol. 14, No. 1.

Description: This panel discussion, which occurred at the April 1982 SOA meeting in Orlando, presented information related to developments in medical benefit plan design which will help control costs. The panel discussed: What has already been tried?, What works?, and, What else can be tried?. From Record of Society of Actuaries Vol. 8, No. 2.

Description: This session discussion is about PPOs' types of sponsors, structures, effectiveness and regulation. Includes a discussion on PPOs in the UK. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: This article compares the Prescription Drug Plan (PDP) market to the commercial individual market exchanges included in the Affordable Care Act. PDP carrier actions to date could help predict certain aspects of the exchange market.