Description: Conditions and required solvency standards of federal waiver to PSOs to provide Medicare+Choice products. Effect on providers, beneficiaries and employers. Issue No. 36

Description: Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the member and increased payments to Medicare Advantage plans. Milliman's HCC prevalence study illustrates the significant variations in HCC prevalence rates by age/gender, geography, and population type and will assist plans in benchmarking the effectiveness of their own diagnosis code capture efforts.

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 1978 session looked at the intersection of social and private insurance including: 1. Social insurance involvement in casualty and property coverages 2. Impact of social insurance and individual disability insurance 3. Social insurance impact on private retirement plans in the United States 4. Social insurance impact on private retirement plans and on individual insurance plans in Canada

Description: This 1978 session focused on regulatory considerations in Group Health Insurance focused on the following questions: 1. What is the impact of National Health Insurance and Federal Hospital Cost Control? 2. What is the impact of non-discrimination legislation and regulation? 3. What is the impact of recent OASDI financing changes and changes in mandatory retirement age? 4. What is the future of multi-employer trusts and self-insurance?

Description: Recent testimony on Social Security was given to the U.S. Senate Special Committee on Aging by David Langer, who defended the current system and strongly opposed recent moves to privatize. This article summarizes Mr. Langer's testimony.

Description: This paper suggests that two opposing pressures are at work in the United States. One is the limit to the number of retired adults that the nation can support. The other is the growing diversity of needs and desires of older people and employers. These two opposing pressures will frame the issues of the future.

Description: This paper examines the problem of a growing net benefit reduction for working women who are entitled to benefits in their own right, as well as to benefits as surviving spouses of covered workers.

Description: This paper discusses and reaches the conclusion that baby-boomers and younger workers need to be told that their Social Security benefits will be substantially less adequate than those of today's retirees, and that they need to know now so that they have time to take appropriate actions to have more retirement income available from other sources. From The Old-Age Crisis - Actuarial Opportunities - The 1996 Bowles Symposium, M-RS99-1.

Description: Book Review: Within the System: My Half Century in Social Security by Robert Myers . 'This splendid book' tells of Mr. Myers remarkable public service career and appraises the influence of many American politicians.