Medicare/Medicaid

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

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)
Decision brief highlighting some of the issues that federal and state policymakers and regulators should consider as they are making their Medicaid expansion decisions. (September 10, 2012)
Medicaid Work Group comments to CMS on a proposed rule regarding payments for Medicaid primary care services. (June 12, 2012)
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. (May 22, 2012)
Medicare Steering Committee sample slide deck without speaker notes (updated 5/12) regarding a guide to Medicare's financial challenges and options for improvement. (May 22, 2012)
Voter guide on Medicare to help explain the essential components of the program. (April 23, 2012)
Health Practice Council comment letter to House leadership on legislation (HR 5) that would include a provision to repeal the Independent Payment Advisory Board, which was created under the ACA to provide recommendations to reduce growth in Medicare expenditures if spending exceeds a certain growth rate. (March 21, 2012)
Medicare Steering Committee issue brief discussing proposals to update Medicare's traditional fee-for-service benefit design. (March 1, 2012)
Medicare Supplement Work Group letter to the NAIC Medigap PPACA Subgroup offering comments on the subgroup’s new discussion paper, Medicare Supplement Insurance First Dollar Coverage and Cost-Shares. (October 4, 2011)
Medicare Steering Committee comment letter to the members of the new Joint Select Committee on Deficit Reduction urging action to improve the long-term solvency and sustainability of the Medicare program. (August 31, 2011)
Medicare Supplement Work Group letter to the NAIC's Medicare Supplement Refund Formula Subgroup with a proposed charge to have the work group review the Medicare Supplement Refund Formula for potential changes that may need to be addressed. (August 24, 2011)
Medicaid Work Group presentation regarding the Medicaid rate-setting process for Medicaid Managed Care programs. The presentation includes a discussion about base data sources, base data adjustments, risk adjustment, risk-sharing arrangements, and performance incentives. (July 21, 2011)
Health Practice Council testimony to the House Ways and Means Subcommittee on Health regarding the 2011 Medicare Trustees Report. (June 22, 2011)