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: 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: An excerpt from the 2002 Annual report of the Boards of Trustees for the Federal Hospital Insurance and Federal supplementary Medical Insurance Trust Funds which describes the basic assumptions and methods used in the estimates under the intermediate assumptions. Also, presented are projections of program costs under two alternate sets if assumptions.

Description: This excerpt from the 2001 Annual Report of the Board of Trustees of the Federal Hospital Insurance Trust Fund describes the basic methodology and assumptions used in the estimates for the intermediate assumptions. Also presented are the projections of program costs under the twp alternative sets of assumptions.

Description: An excerpt from the 2002 Annual Report of the Board of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds which describes the basic methodology and assumptions used in the estimates for the intermediate assumptions. Also, projections of program costs are presented under two alternate sets of assumptions.

Description: An excerpt from the 2003 Annual Report of the Board of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds which describes the basic methodology and assumptions used in the estimates for Medicare Part B under the intermediate assumptions.

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 review the history of why Medicare has lacked prescription drug coverage and why some of the previous proposals have failed. The session then discusses drug coverage in Medicare Advantage, Medicare Supplemental plans and Part D. From the Record of the Society of Actuaries, Volume 30, No. 1, Session 106pd.

Description: A summary from the Trustees report: SMI Trust Fund: Estimates under Alternative II Assumption for Aged and Disabled Excluding End-Stage Renal Disease Enrollees

Description: Article from The Actuary, May 1994 – Volume 28, No. 5 in which the author looks at the original estimates compared the actual estimates in regards to End Stage Renal Disease ESRD program.