Description: This article focuses on the capitation rate development methodology for the Medicare-Medicaid Financial Alignment Demonstration. It also describes the background behind the establishment of the initiative and how it will be evaluated.

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: Feature article presenting a synopsis of the Social Insurance and Public Finance Pension Sub-committee.

Description: Summary of a talk by Robert J. Myers given at a recent meeting of the Baltimore Actuaries Club on revising the standard premium rate for Supplementary Medical Insurance.

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: Changes in CMS requirements for 2011 Medicare Part D plans aimed at reducing confusion surrounding the PDP selection process by making plan differences more visible to seniors. Carriers have responded by making the most significant changes in plan offerings since the program's inception, which is expected to result in membership shifts.

Description: Background on, and best practices guidelines for dealing with, bid reviews and audits for Medicare Advantage plans.

Description: This article compares the Prescription Drug Plan (PDP) market to the commercial individual market exchanges included in the Affordable Care Act. PDP carrier actions to date could help predict certain aspects of the exchange market.

Description: This is an editorial warning about the escalating costs of Medicare as outlined in the 1983 Annual Report of The Board of Trustees of The Federal Hospital Insurance Trust Fund. The editorial ends with a question asking what the actuarial profession, and its members individually, ought to be doing that they aren’t already doing?

Description: In this article, Dr. Ted LeBoy, Assistant Medical Director of Continental Assurance Co., commented on some changes that had been observed during the first eight months of Medicare's existence. These included changes in the average number of hospital days and physician charges.