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.

Description: This article summarizes the presentations by the Society of Actuaries and the Academy of Actuaries at the January 2015 National Academy of Social Insurance (NASI) Roundtables in Washington DC. SOA presented on the 2014 SOA monograph series "The Link between Retirement Security and Long-Term Care."

Description: Early description of a Medicare data source showing geographic differences by county and state.

Description: This article discusses the financing issues of Social Security and Medicare benefits and how reforms are necessary in the near future.

Description: Summary of testimony by an AAA Board member before a congressional subcommittee, as an expert on risk assessment and adjustment, especially in relation to Medicare risk contracting and HMO payments. She recommended: mitigating the geographical region values, credibility weights for payments to health plans, carving out high cost claim segments, reengineering the ACR methodology, shifting AAPCC methodology from fee-for-service toward competitive bidding, and further projects to improve risk methods.

Description: This article describes the basic methodology and assumptions used in the estimates for the SMI trust fund under the intermediate assumptions. From Pension Section News, September 2004, Issue No. 56.

Description: These are the exhibits and appendices accompanying the paper Estimated Impact of Medicare Part D on Retiree Prescription Drug Costs.