Description: Panelists discuss several methods for implementation of the Balanced Budget Act requirement that the Medicare program adopt a risk adjustment mechanism for implementation in the year 2000. From the Record of the Society of Actuaries, Vol. 25, No. 2.

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: Discussion of Medicare's Ambulatory Payment Classification APC system as the standard for reimbursement of non-capitated outpatient hospital services with sample calculations. Issue No. 37.

Description: Panelists discuss changes to the Medicare program being implemented by the Medicare Modernization Act. Topics include Medicare Advantage and Part D bidding and actuarial equivalence. From the Record of the Society of Actuaries, Vol. 30, No. 3, Session 101

Description: Panelists discuss current implications of the MMA on Medicare Advantage, Medicare Supplement plans, and introduce the new Part D prescription drug benefit. From the Record of the Society of Actuaries, Vol. 31, No. 2, Session 107

Description: Summarizes the Medicare Prescription Drug, Improvement and Modernization Act of 2003, MMA. Focuses on changes to the Medicare Advantage, MA, program and the market reaction to date.