Medicare/Medicaid

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

Health Practice Council testimony to the House Ways and Means Subcommittee on Health regarding the 2011 Medicare Trustees Report. (June 22, 2011)
Cori Uccello, Senior Health Fellow, and Thomas Wildsmith, Vice President for Health Issues, slide set regarding the 2011 Medicare Trustees Report. The slide set was presented during a Capitol Hill briefing and provides an overview of the financial projections in the report and the outlook for the program's sustainability. The slide set also addresses various Medicare-related debt- and deficit-reduction proposals and the key cost, access and quality issues associated with each proposal. (May 27, 2011)
Medicare Steering Committee's 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. (May 25, 2011)
Medicare Steering Committee issue brief that summarizes the key cost, access, and quality issues associated with some of the Medicare-related provisions in the various debt and deficit reduction proposals. (May 12, 2011)
Medicare Part D RBC Subgroup letter to the NAIC's Health RBC Working Group asking it to sponsor and administer a survey of carriers that write Medicare Part D business. The survey is designed to gather additional data that may support any needed changes to the formula. (February 9, 2011)
Health Practice Council letter to CMS in response to its request for comments on the Medicare Advantage risk adjustment data validation (RADV) payment error calculation methodology. (January 21, 2011)
Medicaid Work Group letter to CMS in response to CMS' request for assistance in revising the Medicaid rate setting checklist. (January 14, 2011)
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)