 |
|
|
|
Medicare/Medicaid
Printer-friendly versionPotential reform options addressing Medicare’s financial sustainability, and information on the Medicaid and CHIP programs.
Medicare Part D Subgroup explanatory slides from a memo to the NAIC regarding 2006 RBC changes to Medicare Part D Prescription Drug Coverage. (September 10, 2005)
Health RBC Subgroup status report to the NAIC Task Force. The subgroup was created in response to and NAIC charge for recommendations of changes to the 2006 RBC Formulas and Instructions, in order to address the risks of Medicare Part D Prescription Drug coverage. (June 11, 2005)
Cori E. Uccello and Ron Gebhardtsbauer Capitol Hill briefing regarding the 2005 trustees report, for Medicare and Social Security, demographic changes affecting both programs, and solvency issues. (April 1, 2005)
Letter offers the Academy as a resource on health care issues and shares some recent publications on key issues including Medicare and the uninsured. (March 4, 2005)
Academy comment letter recommending to Congress that individuals serving in the positions of SSA and CMS chief actuary be members in good standing of the American Academy of Actuaries. (March 3, 2005)
Senior Health Fellow issue brief outlining areas in which action, beyond the addition of the Medicare Part D program, could be taken to reform the Medicare program, including addressing long- term financing problems, balancing access to care while avoiding unnecessary utilization, private sector competition strategies, and addressing the insurance needs of individuals age 55 to 64. (February 1, 2005)
Actuarial Equivalence Work Group letter to CMS regarding actuarial equivalence issues related to prescription drug plans (PDPs), Medicare Advantage (MA) plans, Medicare supplement plans, and retiree health benefits. (October 4, 2004)
Medicare Steering Committee letter to CMS discusses issues related to the calculation of monthly savings — a step in determining beneficiary rebate amounts for MA plans — and payment adjustments based on the variation in costs among different areas including input prices, utilization, and practice patterns. (October 4, 2004)
Medicare Steering Committee letter discusses issues related to eligibility and enrollment, benefits and beneficiary protections, submission of bids and monthly beneficiary premiums, payments to prescription drug plan sponsors and Medicare Advantage (MA) organizations, etc. Comments on issues related to actuarial equivalence in a separate letter. (October 4, 2004)
Medicaid Work Group issue brief identifying several provisions of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 that may have an impact on state Medicaid budgets.
(June 30, 2004)
Joint Committee on Retiree Health comments to FASB opportunity to comment on the proposed FASB staff position (FSP) 106-b, Accounting and Disclosure Requirements Related to the Medicare Prescription Drug, Improvement and Modernization Act of 2003. (April 13, 2004)
Health Savings Account Subgroup comments on IRS Notice 2004-2, which provides guidance on Health Savings Accounts (HSAs) provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. (March 30, 2004)
Medicare Supplement Work Group Subteam report to the Medicare Supplement Subteam of the NAIC Accident and Health Work Group (A&HWG) provides input in response to a request from the NAIC to to develop a range of composite loss ratio curves (separately for issue age- and attained age-rated products). (March 10, 2004)
This 2004 election guide for journalists, policy-makers and citizens to use as they evaluate the candidates’ Medicare proposals. It summarizes several Medicare issues and suggests questions that should be considered when analyzing any proposed changes to the Medicare program. (March 1, 2004)
Health Practice Council letter to House and Senate conferees, who are reconciling to Medicare Rx bills, that offers assistance in assessing the actuarial implications of changes to the Medicare program. (September 29, 2003)
Health Practice Council letter on the general risk sharing approaches available, summarizes the risk-sharing provisions in the Senate and House bills, and provides specific comments on the risk-sharing approaches in the Senate and House bills. (July 30, 2003)
Health Practice Council white paper addressing issues for consideration in the debate over a prescription drug program under Medicare. (April 30, 2003)
Medicare Steering Committee issue brief providing a primer on two approaches to reforming Medicare - should it retain its current defined benefit approach (similar to that used by traditional retirement plans) or should it be changed to a defined contribution approach (similar to that used by 401(k) retirement plans)? (July 1, 2002)
Health Practice Council letter to Congress offers the Academy as a resource on questions related to Medicare and prescription drugs, and notes that adding any additional benefits, in particular a prescription drug benefit, without addressing the financing of the entire Medicare program would be unwise given the uncertainties for future funding of the current benefit structure. (June 20, 2002)
Academy statement offering an actuarial perspective on Medicare's financial condition. (April 1, 2002)
