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 article reviews the Medicare Prescription Drug, Improvement and Modernization Act and the impact the legislation has had on Medicare Supplement plans, policies and the changes to the model regulation. From Health Section Newsletter, March 2005, Issue No. 49.

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 session from the 1983 SOA Vancouver Meeting discusses national health policy issues in the U.S. and the impact of these issues on the private health insurance business. Issues include health insurance for the unemployed, non-paying patients and cost shifting, competition versus regulation and DRG prospective pricing for Medicare.

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 98PD of the SOA 1997 Washington Annual Meeting discusses the reforms that have been evolving in the Medicare program, the participation of Health Maintenance Organizations and the insurance industry in the managed Medicare market, and the response of Medicare enrollees to these programs. Both Medicare Risk and Medicare Select programs are discussed. From the Record of the Society of Actuaries, Vol. 23, No. 3.

Description: The presentation discusses the history of the Medicare+Choice [M+C] program and the challenges faced by plans offering the program, as well as the challenges faced by those interested in entering the program. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 60

Description: Chairperson's corner for January 2020 In the Public Interest.

Description: Discussion of recent laws and regulatory changes that have provided Medicare Advantage plans greater flexibility in benefit offerings and plan designs.

Description: This article encourages pension actuaries to read a 16-page paper, available on the Internet from the National Commission on Retirement Policy, regarding the challenges of the next decade on how to put federal programs for senior citizens on a sound financial footing.