Description: In Medicaid rate development, actuaries have not historically shared models that developed the margin (i.e., underwriting gain) assumption. This is unfortunate, given the margin assumption is one of the most critical components of the rate development in ensuring financial solvency of the Medicaid managed care organizations (MCOs). In this session, we will discuss the primary components of the this assumption and will share working models that help actuaries quantify these components—including the cost of capital and risk (or contingency) margin. We expect a lively discussion as we “open the black box” and discuss these actuarial assumptions in the public for the first time.

Description: Presented at April 1986 Spring Meeting. This session discussion is about the techniques for understanding and analyzing trends in medical care, including: utilization and cost components, analysis of cyclical behavior, use of econometric models, and aggregate trend vs. employer-specific needs.

Description: As providers are considering accountable and value based care models, it is critical to strategically think through how to achieve a sustainable business model into the future. This requires actuarial and clinical/provider capabilities to assess the care management and financial levers to help a client through the transition.

Description: This paper employs a static-component projection methodology as a first step in a more complex research agenda focusing on developing detailed population projections in which mortality, disability, and disease are represented as linked phenomena with changes in any one impacting the other two. From Retirement Needs Framework, M-RS00-1.

Description: The article describes what a Delphi study entails; describes past Delphi studies conducted by the SOA; and summarizes "Land This Plane" - A Delphi Study about Long-Term Care in the United States, which was published by the SOA in April 2014.

Description: Profile of an actuary in a non-traditional actuarial role: focusing on medical cost and analysis, both retrospective and prospective.

Description: This is a poster presentation about a study to evaluate various methods for projecting health benefit populations.

Description: Article provides a market scan of recent state proposals for Medicaid work requirements as well as measures the impact to enrollment in different states.

Description: The comments of DxCG about their participation in the SOA study A Comparative Analysis of Claims-Based Tools for Health Risk Assessment.

Description: This article describes the use of artificial society modeling to gauge the effect of insurance agent population and effectiveness on individual life insurance sales. This is part of an ongoing effort to extend the use of one type of agent-based modeling beyond health care, but is far from a practical application at this point.