Medicare / Medicaid

Comment / Letter

Risk Sharing Subcommittee Comments on HHS-Operated RADV Under the Patient PPACA’s HHS-Operated RADV Program

Risk Sharing Subcommittee filed comments with the Department of Health and Human Services and the Centers for Medicare and Medicaid Services on exposed Amendments to the HHS-Operated Risk Adjustment…

Issue Brief

Issue Brief on Health Risk Mitigation

The Health Practice Council has released an issue brief that examines the different types of risks that insurers can face and the various risk mitigation mechanisms that can be used to address them,…

Infographic

EE-MedicareSustainabilityChallenge

Issue Brief

Medicare’s Financial Condition: Beyond Actuarial Balance

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

Issue Brief

Issue Brief on Understanding and Addressing Health Care Costs and Cost Growth in Medicaid: A Framework

Medicaid Subcommittee issue brief on growing health care costs concerns in the Medicaid program and an analysis of public policy proposals to address them.

Comment / Letter

The Medicaid Subcommittee submitted comments on the Medicaid Fiscal Accountability Regulation

The Medicaid Subcommittee submitted comments on the proposed rule, Medicaid Fiscal Accountability Regulation (MFAR).

Comment / Letter

Committee Comments on Changes to RADV timing in the final 2020 NBPP and related documents

Individual and Small Group Markets Committee sent comments to Centers for Medicare & Medicaid Services on rules finalized in the 2020 Notice of Benefit and Payment Parameters (NBPP) concerning risk…

Comment / Letter

Subcommittee Comments to Center for Medicaid and CHIP Services on May 15, 2019 Informational Bulletin

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.

Presentation

Deciphering the Different Options to Expand Public Coverage

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…

Issue Brief

Medicare’s Financial Condition: Beyond Actuarial Balance

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