Description: Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the member and increased payments to Medicare Advantage plans. Milliman's HCC prevalence study illustrates the significant variations in HCC prevalence rates by age/gender, geography, and population type and will assist plans in benchmarking the effectiveness of their own diagnosis code capture efforts.

Description: What you need to know about risk scores to be competitive in the Medicare Advantage market.

Description: This is the abstract for the paper, The Boomers Are Coming: A Total Cost of Care Model of the Impact of Population Aging on the Cost of Chronic and Acute Conditions in the United States. The complete paper is not available online.

Description: Research report sponsored by SOA to model and compare projected costs of different proposals for a Medicare prescription drug coverage plan. 3 types of costs are studied: net benefit cost estimates per member per month, continuance table data, and projected annual costs to the government over 10 years for two selected plan designs.

Description: This paper describes an actuarial model that was developed to answer the question of whether employees are projected to get their money's worth out of participating in the Society Security system, determined by comparing the expected present value of benefits to projected value of taxes. This question is discussed with reference to 1. a single worker, 2. a married worker with a non working spouse and 3. a two-wage-earner family.