Medicaid Subcommittee comments on May 15, 2019 CMCS Informational Bulletin (CIB) titled Medical Loss Ratio (MLR) Requirements Related to Third-Party Vendors seeking additional clarification.

(July 17, 2019 )

This presentation was a session at the SOA Health Meeting where panelists reviewed the proliferation of proposals to expand access to public health insurance plans, either to strengthen insurance markets under the Affordable Care Act (ACA) or to replace the ACA marketplaces or other health insurance programs altogether. Panelists discussed general approaches for expanding access to public plans and their potential implications.

(June 25, 2019 )

Medicare Subcommittee issue brief on the three fundamental long-range financing challenges facing the Medicare program.

(April 24, 2019 )

Medicare Subcommittee comments on the proposed rule regarding the removal of safe harbor protection for rebates involving prescription pharmaceuticals and the creation of new safe harbor protections.

(April 03, 2019 )

Medicaid Subcommittee letter to CMS providing comments on Nov. 14, 2018 proposed rule regarding Medicaid and CHIP managed care programs. (January 13, 2019 )

Council letter to the Centers for Medicare and Medicaid Services (CMS) in response to its request for comments on proposed rules pertaining to the Medicare Advantage (MA) program, including provisions to revise the risk adjustment data validation (RADV) payment error calculation methodology and process. (December 16, 2018 )

Medicare Subcommittee issue brief on the three fundamental long-range financing challenges facing the Medicare program. (June 12, 2018 )

Medicare Subcommittee issue brief on significant concerns about Medicare’s long-term financial health.  (July 19, 2017 )

Medicare Subcommittee comments to House Ways and Means Health Subcommittee on preserving and strengthening the Medicare program.
(June 01, 2017 )

Medicaid Funding Work Group issue brief addresses key design elements of block grants and per capita caps in relation to program sustainability.
(March 17, 2017 )

Medicare Subcommittee issue brief on significant concerns about Medicare’s long-term financial health. (June 24, 2016 )

Medicare Subcommittee letter to the Senate Finance Committee with comments on the Bipartisan Chronic Care Working Group’s Policy Options Document. (January 26, 2016 )

Medicare Supplemental Work Group responses to questions regarding the work group’s recommendations on modifications to the Medicare supplement refund formula.

(November 10, 2015 )

Medicare Subcommittee issue brief that examines the potential for Medicare Advantage plans to improve quality of care at lower prices as part the Medicare@50 series.

(October 23, 2015 )

Medicare Subcommittee issue brief in the Medicare at 50 series exploring the benefits available under the traditional fee-for-service Medicare program, as well as Medicare Advantage and supplemental policies.  (July 29, 2015 )

Medicare Subcommittee issue brief in the Medicare at 50 series exploring the financial challenges facing the Medicare program and highlighting the need for policy options to ensure the program's long-term sustainability. (July 29, 2015 )

Medicare Subcommittee issue brief in the Medicare at 50 series examining the diverse needs and characteristics of Medicare beneficiaries. (July 29, 2015 )

Medicaid Subcommittee comment letter to Centers for Medicare and Medicaid Services (CMS) on proposed rules about Medicaid and Children’s Health Insurance Program (CHIP) Programs; Medicaid managed care, CHIP delivered in managed care, Medicaid and CHIP comprehensive quality strategies, and revisions related to third party liability. (July 27, 2015 )

Medicare Subcommittee issue brief, “Medicare’s Financial Condition: Beyond Actuarial Balance,” on significant concerns about Medicare’s long-term financial health. (July 24, 2015 )

Health Care Cost Work Group issue brief addresses health care cost growth in Medicare by providing a framework for understanding and evaluating the options for reforming Medicare and their potential effects on cost growth, quality of care, and access to care. (June 05, 2015 )