Description: Teaching session on the working Medicare contracts: background on the origin of Medicare risk contracts, feasibility of an HMO or competitive medical plan entering the Medicare risk market, and outline of the HCFA adjusted community rate filing process.

Description: In session 26PD of the 2004 Valuation Actuary Symposium, discussed is how the new Medicare prescription drug legislation creates a number of issues for employers and managed-care plans. Employers must determine the impact of the legislation on their retiree prescription drug costs, evaluate options for plan design and make decisions about how to reflect the effect of the legislation in their FAS 106 valuations. Managed-care plans need to review the effect of the legislation on plan design, statutory filings and financial reporting for their Medicare products.

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 emerging valuation-actuary-related issues, including: [1] for long-term-care insurance [LTCI], reserves, risk-based capital [RBC], and new experience forms, [2] for Medicare Part D, several potential future changes, and [3] for health insurance in general, the new Statement of Standard Accounting Practice 85 [SSAP 85] and existing SSAP 84, and current activities of the International Accounting Standards Board [IASB] regarding a definition of 'insurance.' Session 27PD of the 2005 Valuation Actuary Symposium.

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: This session from the 1984 SOA Toronto discusses the Deficit Reduction Act of 1984 - DEFRA, FASB proposals and the Retirement Equity Act of 1984 - REA. From Record of the Society of Actuaries Vol. 10, No. 4A in Toronto

Description: This presentation from Session 99PD of the SOA 1999 Seattle Spring Meeting is about the data sources and advice used by the Health Care Financing Administration in choosing the assumptions used for projecting Medicare costs. From the Record of the Society of Actuaries, Vol. 25, No. 2.

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 61PD of the SOA 1996 Orlando Annual Meeting provides an update on changes to the Medicare health program over the last couple years. In addition, the panelists discuss the merits of additional proposed changes from the White House and both sides of the aisle in Congress. From the Record of the Society of Actuaries, Vol. 22, 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