Description: This article takes a closer look at Medicare Part D Coverage and the types of payment demonstration payment of the federal reinsurance amountFlexible Capitation, Fixed Capitation, MA Rebate. Issue No 60

Description: Changes introduced by various Medicare Alternative Payment Models and the Medicare Access and CHIP Reauthorization Act (MACRA) have accelerated an existing market trend of shifting some of what has traditionally been considered “insurance risk” to providers. The Provider Risk Sharing Boot Camp will give attendees deeper insights into methods, current thinking, and alternative solutions that actuaries can use to help providers understand and manage the financial and actuarial risks that they are taking, many for the first time.

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: COVID-19 is causing changes to nursing homes that will last beyond the pandemic. Nursing homes serve Medicare and Medicaid beneficiaries; so, in the public interest, we should consider how changes to nursing homes might impact these populations.

Description: Chairperson's corner for January 2020 In the Public Interest.

Description: Strategies to position Medicare Advantage plans for success during August resubmission.

Description: This article examines the concept of Actuarial Value, especially as it applies to the Medicare plan of benefits. It discusses the cost-sharing responsibility of Medicare beneficiaries and the means by which they mitigate this risk.

Description: Overview of standard Medicare plan design. Overview of Medicare funding. Overview of Medicare supplemental and alternative products.

Description: The article presents descriptions of the July, 2015, newsletter articles, and the author suggests topics where future articles are welcome.

Description: This article encourages pension actuaries to read a 16-page paper, available on the Internet from the National Commission on Retirement Policy, regarding the challenges of the next decade on how to put federal programs for senior citizens on a sound financial footing.