Medicare/Medicaid

Potential reform options addressing Medicare’s financial sustainability, and information on the Medicaid and CHIP programs.

Medicare Subcommittee issue brief in the Medicare at 50 series exploring the benefits available under the traditional fee-for-service Medicare program, as well as Medicare Advantage and supplemental policies.  (July 29, 2015)
Medicare Subcommittee issue brief in the Medicare at 50 series exploring the financial challenges facing the Medicare program and highlighting the need for policy options to ensure the program's long-term sustainability. (July 29, 2015)
Medicare Subcommittee issue brief in the Medicare at 50 series examining the diverse needs and characteristics of Medicare beneficiaries. (July 29, 2015)
Medicaid Subcommittee comment letter to Centers for Medicare and Medicaid Services (CMS) on proposed rules about Medicaid and Children’s Health Insurance Program (CHIP) Programs; Medicaid managed care, CHIP delivered in managed care, Medicaid and CHIP comprehensive quality strategies, and revisions related to third party liability. (July 27, 2015)
Medicare Subcommittee issue brief, “Medicare’s Financial Condition: Beyond Actuarial Balance,” on significant concerns about Medicare’s long-term financial health. (July 24, 2015)
Health Care Cost Work Group issue brief addresses health care cost growth in Medicare by providing a framework for understanding and evaluating the options for reforming Medicare and their potential effects on cost growth, quality of care, and access to care. (June 5, 2015)
Medicare Supplement Work Group presentation to the NAIC on recommendations for potential modifications to the Medicare Supplement refund formula. (November 18, 2014)
Medicare Supplement Work Group report to the NAIC on recommendations for potential modifications to the Medicare Supplement refund formula.  (November 12, 2014)
Medicaid Work Group letter to the Centers for Medicare & Medicaid Services on the introduction of new Breakthrough Therapy Designation medications and their potential impact on Medicaid costs. (November 11, 2014)
Medicare Steering Committee issue brief offering an actuarial perspective on Medicare's financial condition and outlining the public policy options to address the program's long-term financial challenges. (July 31, 2014)
Medicaid Work Group request to the Centers for Medicare and Medicaid Services for specific guidance on the Affordable Care Act's Health Insurance Providers fee and how it affects the Medicaid program. (July 7, 2014)
Medicare Part D RBC Subgroup report to NAIC’s Health Risk-Based Capital Working Group recommending no change be made to the risk factors for Medicare Part D coverage. (June 12, 2014)
Medicare Supplement Work Group update to NAIC's Health Actuarial Task Force on the progress of a review of the Medicare supplement review and a list of next steps. (March 28, 2014)
Medicare Steering Committee testimony to the House Ways and Means Subcommittee on Health regarding the 2013 Medicare Trustees Report. (June 20, 2013)
Medicare Steering Committee issue brief offering an annual perspective on Medicare's financial condition and outlining the public policy options to address the program's long-term financial challenges. (June 12, 2013)
Academy Senior Health Fellow Cori Uccello's written testimony to the House Ways and Means Subcommittee on Health in response to its recent hearing that examined Medicare's traditional fee-for-service benefit design. (March 8, 2013)
Slides providing information on the relationship between Medicare provider payment rates and those for private insurance, which is important for understanding how any changes in Medicare provider payment rates could affect private plans. (February 21, 2013)
Academy's letter to President Obama and top administration officials urging them to require Academy membership as a qualification for any candidate to the chief actuary position at the Centers for Medicare & Medicaid Services. (February 19, 2013)
Presentation to the 2012 NCOIL Annual Meeting on implications for states regarding their Affordable Care Act-related Medicaid expansion decisions.  (November 26, 2012)
Guide to help voters understand what premium support is and the potential implications of shifting Medicare to a premium support program. (October 9, 2012)