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Medicare/Medicaid
Printer-friendly versionPotential reform options addressing Medicare’s financial sustainability, and information on the Medicaid and CHIP programs.
Medicare Steering Committee annual 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. (November 10, 2010)
Medicare Supplement Work Group additional comments to NAIC on the draft revisions to the Medicare Supplement Compliance Manual, clarifying the use of the pooling approach used in the manual and how it may interact with loss ratio standards. (February 2, 2010)
Health Policy Council call to action urging the President and Congress to restore the long-term solvency and financial sustainability of Medicare. (February 1, 2010)
Medicare Steering Committee issue brief describing the current payment system, providing an overview of the goals of the Medicare Advantage program and addressing two of the alternative mechanisms (and some variations) for reducing payments to Medicare Advantage plans. (October 1, 2009)
Medicare Steering Committee annual issue brief offering an actuarial perspective on Medicare's financial condition and outlining public policy options to address the program's long-term financial challenges. (May 31, 2009)
Medicare Part D RBC Subgroup letter to the Centers for Medicare and Medicaid Services for financial data related to Medicare Part D, which will be used to update a report on Medicare Part D RBC risk factors. (October 6, 2008)
Medicare Part D Accounting Practice Note Subgroup practice note describing some of the current practices used by U.S. health actuaries with respect to work involving valuation, accounting, and financial reporting for Medicare Part D products. (April 8, 2008)
Medicare Steering Committee updated annual issue brief offering an actuarial perspective on Medicare's financial condition. (March 31, 2008)
Practice note issued by the The Actuarial Equivalence PDP/MA-PD Practice Note Work Group on the actuarial equivalence for private prescription drug plans under Medicare Part D. The practice note addresses the procedural and professional aspects that require certification by CMS of an Academy member that a prescription drug plan or Medicare Advantage prescription drug plan meets the actuarial equivalence standard. (March 6, 2008)
Medicare Steering Committee monograph highlighting various potential approaches for addressing Medicare's financial problems, along with a discussion of their relative strengths and weaknesses. The report also provides an overview of how Medicare is funded and its financial status. (June 30, 2007)
Medicare Part D RBC Subgroup revision proposals to the NAIC life and health RBC instructions for Medicare Part D to address a potential unintended consequence related to the Authorized Control Level (ACL) RBC results. (June 3, 2007)
Medicare Part D RBC Subgroup comment letter to NAIC's Health Risk Based Capital Working Group on a possible update of proposed risk factors previously developed by the Academy's Medicare Part D subgroup. (May 3, 2007)
Medicare Steering Committee annual issue brief offering an actuarial perspective on Medicare's financial condition. (April 30, 2007)
Part D Lessons Learned Work Group comment letter on what has worked well and what has not in Medicare Part D. The letter also offers recommendations to improve the overall operation and administration of the Part D program, specifically including the bidding process, management of eligibility, and coordination with Medicaid and with the Social Security Administration. (March 21, 2007)
Health Practice Council comments that urge CMS to reconsider the one-role-per-user rule for actuaries for Part D attestations and to investigate alternatives that would not prevent actuaries from fulfilling their actuarial obligations. (December 19, 2006)
Medicare Supplement Work Group comments to NAIC's Medigap Modernization Subgroup of the Senior Issues Task Force identifying potential transitional issues that will need to be addressed as part of Medicare Supplement modernization that the Subgroup has recently taken up. (August 17, 2006)
Practice note created by the Actuarial Equivalence Retiree Practice Note Work Group providing advisory guidance to actuaries attesting to the actuarial equivalence of a plan sponsor's retiree health plans for payments to sponsors of retiree prescription drug plans. (March 8, 2006)
Medicare Part D RBC subgroup report to the NAIC on proposed RBC risk factors relating to the insurance of Medicare Part D coverage commencing January 1, 2006. This report was written in response to a charge from the NAIC. (December 3, 2005)
Health Care Quality Work Group issue brief exploring definitions and measures of health care quality and examining the pay for performance approach to rewarding improvements in quality, particularly in the Medicare program. (October 1, 2005)
Report to NAIC on Proposed Medicare Part D RBC changes
Memo to the NAIC from the Medicare Part D Subgroup with proposed health RBC instruction and health RBC formula changes, proposed life RBC instruction and life RBC formula changes, and explanatory slides. (September 10, 2005)
