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.

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

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: Provides background about Prescription Drug Plans, PDPs, and the standard benefit package offered under Medicare Part D. It also provides a basic overview of the bid-development process for a PDP and summarizes some general strategies and observations used in developing the 2006 bids that will likely be used for 2007.

Description: Map of MA Regions Receiving Bids for Regional PPO Products

Description: This article discusses the legislative summary of the changes that will occur with the new Medigap policies, which will be effective on or after June 1, 2010. Issue No 60

Description: During the SOA’s recent Living to 100 Symposium, one of the sessions that got me thinking much more deeply about the financing of public retirement plans was titled “Mortality Age Patterns: Trends and Projections.”

Description: Issue No. 36. Issues relating to Provider Sponsored Organizations PSOs contracting with HCFA to sponsor Medicare + Choice. Article discusses revenue and the addition of non-Medicare covered benefits.

Description: Risk adjustment is used to adjust the revenue stream to health insurers that sell ACA eligible plans and Medicare Advantage plans. This article compares and contrasts these risk adjustment programs.