Description: Issue No. 36. Issues relating to Provider Sponsored Organizations PSOs contracting with HCFA to sponsor Medicare + Choice. Article discusses revenue and the addition of non-Medicare covered benefits.

Description: Map of MA Regions Receiving Bids for Regional PPO Products

Description: This article discusses Medicare cost, specifically the hospital utilization rate and the average daily cost of hospitalization and the effect of Medicare on the great increases in health care costs since 1965.

Description: This presentation included discussions on AAA Medicare Reform Task Force, the 2000 Medicare Technical Advisory Panel's review of HCFA's Medicare projections, and prescription drug coverage. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 7

Description: In session 26PD of the 2004 Valuation Actuary Symposium, discussed is how the new Medicare prescription drug legislation creates a number of issues for employers and managed-care plans. Employers must determine the impact of the legislation on their retiree prescription drug costs, evaluate options for plan design and make decisions about how to reflect the effect of the legislation in their FAS 106 valuations. Managed-care plans need to review the effect of the legislation on plan design, statutory filings and financial reporting for their Medicare products.

Description: This article from The Actuary, April 1971, volume 5, Issue 4 is about Social Security and Medicare. This note compares actual experience for both fiscal year 1970 and calendar year 1970 with the short-range cost estimates given in the 1970 Trustees’ Reports.

Description: Risk adjustment is used to adjust the revenue stream to health insurers that sell ACA eligible plans and Medicare Advantage plans. This article compares and contrasts these risk adjustment programs.

Description: This presentation from Session 99PD of the SOA 1999 Seattle Spring Meeting is about the data sources and advice used by the Health Care Financing Administration in choosing the assumptions used for projecting Medicare costs. From the Record of the Society of Actuaries, Vol. 25, No. 2.

Description: This article discusses Social Security amendments of 1983 that include triggering devices based on trust-fund ratios that affect the funding or benefits of the system for both OASDI and Medicare.

Description: Highlights the recent changes to Social Security and Medicare from enactment of the Tax Reform Act of 1986 and the Omnibus Budget Reconciliation Act. Also highlights some changes voted in by one of the houses but not by both, and therefore not enacted.