Description: This session will cover the latest developments of the Medicaid Final Rule proposed changes and their implications going forward.

Description: The essay discusses the appropriate role of insurance companies, efficient and economical ways to care for chronic illnesses and having a maximum price society will pay to support the ongoing life of any one individual.

Description: Republicans have promised to repeal and replace the Affordable Care Act for years. Now that they have power, what will Republican health care reform look like?

Description: Chairperson's Corner discussing actuarial principles and what we as actuaries value in our work.

Description: 1. Overview of challenges with Managed Medicaid (MLTSS/Dual Medicaid) 2. Mechanisms to identify the business problem. 3. Predictive Model approach a. Understand / Define the business problem b. Determine the appropriate solution c. Model build (data manipulations/transformations) d. Model scoring & monitoring results 4. Case Study - Disenrollment predictive model a. Describe the problem b. Recommended model to solve the problem c. Results d. Monitor results e. Fine-tune / calibrate model

Description: This paper offers basic, economic and actuarial ideas to improve the balance of cost, access to treatment and quality over time.

Description: Essay recommending establishing a consistent and actuarially sound foundation for assessing the costs and benefits of each and every current and new Medicare or other healthcare proposal.

Description: Essay stating accessibility, affordability and efficiency are the key to success in the future of healthcare.

Description: Analysis of data from three Medicaid managed care plans examines enrollment and cost trends for newly eligible enrollees under the ACA's Medicaid expansion.

Description: Discussion of the implications of the newly unveiled health care reform proposal by Senator Baucus. Key issues include abandonment of the CLASS Act, inclusion of LTC in cafeteria plans, funding and tax concerns, individual mandate, privacy concerns, play-or-pay employer mandate, impact on Medicare and Medicaid, and gridlock in the legislative finalization process.