Description: Outline of changes to the Adjust Community Rate ACR Proposal process and Beneficary Information Form, Issue No. 38

Description: Two Medicare risk funding provisions that were radically changed by the BBA of 1997 funding variations by geographic area and risk adjustment. Issue No. 36

Description: Congress has been debating a revision to Medicare Advantage payments including limiting payments to the Medicare Fee-For-Service FFS cost. A county-specific impact study to the benchmark payment rates for each county nationally based on the FFS limitation criteria was performed. This article includes results for Florida, California, Pennsylvania and New York.

Description: Article explores why many integrated delivery systems are struggling and what actions they need to take to succeed.

Description: This paper describes an actuarial methodology [adjusted average per capita cost - AAPCC] developed to meet the requirements of the risk contract that the medicare program makes available to certain health maintenance organizations. From Transactions of Society of Actuaries 1981, Vol. 33.

Description: Panel discusses a variety of current issues in the senior health-care marketplace, including the effects of current, pending, and proposed Medicare changes. From the Record of the Society of Actuaries, Vol. 25, No. 3.

Description: This article is about the Balanced Budget Act of 1997. This Act revises the Medicare landscape by the creation of Part C - Medicare+Choice, Medical Savings Accounts, payment reforms.

Description: Graph of Medicare Prepaid Contracts

Description: Member benefit newsletter for the Social Insurance and Public Finance Section of the SOA.

Description: An excerpt from the 2003 Annual report of the Board of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Trust Funds which describes the basic methodology and assumptions used for the intermediate assumptions.