Description: Republicans have promised to repeal and replace the Affordable Care Act for years. Now that they have power, what will Republican health care reform look like?

Description: This is the abstract for the paper, The Boomers Are Coming: A Total Cost of Care Model of the Impact of Population Aging on the Cost of Chronic and Acute Conditions in the United States. The complete paper is not available online.

Description: There is a wide range of literature on aging and health care. We sample this literature and find it fits into the subcategories of theoretical aging, medical significance of aging, treatment of the elderly, and resource allocation to the elderly. Themes are that financial arrangements can cause inefficient and ineffective care and that care guidelines need to developed specifically for the elderly rather than extrapolating guidelines for younger patients.

Description: Does disease management DM positively influence health care costs? According to three prestigious sources, the answer is no. From Financing Chronic Care Monograph, M-HB05-1.

Description: High points of AcademyHealth’s LTC group policy seminar are discussed, including the relationship between post-acute care PAC and long-term care bundling PAC payments and the implications of research in this area of long-term care.

Description: Beneficiaries who are eligible for both Medicare and Medicaid often have complex health needs. The two programs have not typically been well integrated and care can become uncoordinated, fragmented and incomplete. The ACA includes provisions to address the shortcomings.

Description: This article discusses future benchmarks of Medicare and Medicare's rising costs and its relativity to the actuarial profession.

Description: The article explores how deeply the Affordable Care Act reduced the Medicare Advantage benchmark payment rates and quantifies how much of that reduction Medicare Advantage Organizations earned back through quality bonuses.

Description: This session on Medicare+Choice [M+C] includes an update on risk adjustment methodology, legislative developments that are impacting the M+C program and measures taken by health-care companies to adapt to those changes. From the Record of the Society of Actuaries, Volume 29, No. 2, Session 82pd.

Description: This session discussed about expected trends in medical care costs, changes in Medicare reimbursement practices and their short- and long-term effects, the emerging responsibility for providing long-term care, rise of managed health care, new and old participants, selection issues, multiple options, and small group market.