Description: This paper documents recent medicare utilization experience from 1975-1977 extracted from a large statistical data file developed by the Department of Health and Human Services. From Transactions of Society of Actuaries 1982, Vol. 34.

Description: The Health Section Council HSC of the Society of Actuaries approved and funded a project to study the cost impact on plan sponsor retiree pharmacy costs when Medicare Part D is implemented in 2006. Actuarial & Health Care Solutions, LLC AHCS was retained by HSC to perform the project. This report provides estimated savings for several of the options that will be available to plan sponsors after implementation of the Medicare prescription drug program.

Description: This session is about Medicare resource-based relative schedule [RBRVS], volume performance standards and balance billing limits. From Record of Society of Actuaries Vol. 19, No. 1.

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: Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the member and increased payments to Medicare Advantage plans. Milliman's HCC prevalence study illustrates the significant variations in HCC prevalence rates by age/gender, geography, and population type and will assist plans in benchmarking the effectiveness of their own diagnosis code capture efforts.

Description: In this session, presenters discuss how regulators evaluate Medicare Supplement filings and how carriers can improve their filings. From Record of Society of Actuaries, Vol. 30, No. 1, Session 78

Description: Panelists discuss current implications of the MMA on Medicare Advantage, Medicare Supplement plans, and introduce the new Part D prescription drug benefit. From the Record of the Society of Actuaries, Vol. 31, No. 2, Session 107

Description: This session is about compliance with NAIC requirements and Medicare-Select products. From Record of Society of Actuaries Vol. 19, No. 1B.

Description: Panel discusses the National Bipartisan Commission on the Future of Medicare failed agreement, but still examines the draft of the report, as well as other proposals for changes in Medicare. From the Record of the Society of Actuaries, Vol. 25, No. 2.

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