Abbreviations pICH --primary intracerebral hemorrhage HTA --arterial hypertension RF --risk factor OACT
--oral anticoagulant therapy AT --antithrombotic therapy ASA --acetylsalicylic acid IS --ischemic stroke INR --International Normalized Ratio NIHSS --National Institutes of Health Stroke Scale mRS --Modified Rankin Score Material and Methods
CMS may have felt that, five years after the ACA's enactment, it needed to produce an OACT
certification memo to demonstrate progress in generating savings, or thought the memo could build support for the next iteration of the MSSP program.
Separately, the OACT
reports that total health care spending growth is expected to average 5.8% in aggregate over the period from 2014 to 2024.
In this paper, the methodology underlying OACT
's econometric analysis of state health spending variation referenced in Cuckler et al.
has implemented some control activities to help provide assurance over OASDI trust fund projections, including informal reviews of data, calculations of projection components, and final projections.
Our baseline spending growth scenario matches the spending growth projected by OACT
in their 2015 illustrative (most realistic) scenario (Shatto and Clemens 2015).
With other pressing demands and financial constraints, the CMS Office of the Actuary (OACT
) has not yet been able to pursue this agenda.
In April 2010, the Office of the Actuary (OACT
) at the Centers for Medicare and Medicaid Services reported that between 2010 and 2019, "total national health expenditures would increase by about 0.9 percent" (Foster, 2010).
produces two separate hospital input price indexes (IPIs): an operating IPI and a capital IPI.
The Centers for Medicare and Medicaid Services' (CMS) Office of the Actuary (OACT
) provides estimates to the boards to assist them in setting certain assumptions about HI and SMI future performance that are needed to prepare long-range and short-range projections of the financial status of the trust funds for the Trustees' reports.