[Federal Register Volume 60, Number 133 (Wednesday, July 12, 1995)]
[Notices]
[Pages 35915-35916]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-16977]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration


Statement of Organization, Functions, and Delegations of 
Authority; Office of the Actuary

    Part F of the Statement of Organization, Functions, and Delegations 
of Authority for the Department of Health and Human Services, Health 
Care Financing Administration (HCFA), (Federal Register, Vol. 59, No. 
60, pp. 14643-14644, dated Tuesday, March 29, 1994) is amended to 
reflect changes in the substructure of the Office of the Actuary 
(OACT). The OACT functional statement has not been changed; however, 
the remaining OACT substructure is being published to reflect the 
organizational changes resulting from streamlining efforts.
    The specific amendments to Part F are as follows:
     Section F.10.C.4. (Organization) is amended to read as 
follows:
    4. Office of the Actuary
    a. Office of Medicare and Medicaid Cost Estimates
    b. Office of National Health Statistics
     Section F.20.C.4. (Functions) is amended by modifying 
office statements and deleting the office substructure in their 
entirety. The new functional statements read as follows:

a. Office of Medicare and Medicaid Cost Estimates (FKC1)

     Prepares cost estimates for the Hospital Insurance (HI) 
program, the Supplementary Medical Insurance (SMI) program, and the 
Medicaid program for use in the President's budget.
     Evaluates the operations of the Medicare trust funds 
particularly relating to outlays and program solvency.
     Develops such variables as the Part B premium rates, the 
inpatient hospital deductible, the Part A premium rate for voluntary 
enrollees, and the physicians' economic index applicable to prevailing 
fees.
     Develops the payment rates for the annual update of the 
adjusted average per capita cost (AAPCC) ratebook, which is used to pay 
health maintenance organizations that enter into a risk contract with 
HCFA to provide benefits to Medicare enrollees.
     Provides cost estimates for the Medicaid program, 
including the development of cost estimates for proposed changes in 
Medicaid or in programs affecting Medicaid, and overall Medicaid 
program costs for years after the current budget year.
     Serves as technical consultant throughout the Government 
on Medicare and Medicaid cost estimate issues.
     Provides actuarial consultation to other organizations in 
the research of AAPCC methodology.

b. Office of National Health Statistics (FKC2)

     Develops, maintains and makes analytical use of the 
National Health Accounts (NHA) which include annual 

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estimates and publication of National Health Expenditures (NHE) and 
periodic estimates and publication of NHE by age groupings or by 
region.
     Provides technical support for HCFA regulatory processes, 
especially those related to payment systems or reform.
     Develops, analyzes and publishes, health sector models and 
associated estimates which allow assessments of historical 
relationships and projections of current law or evaluation of the 
impact of proposed changes to the current system.
     Plans and manages the Medicare Current Beneficiary Survey. 
Provides all the in-house activities needed for survey management, data 
analysis, and coordination and information dissemination.
     Conducts and evaluates surveys containing information 
relevant to the health care system.
     Maintains, updates and revises the provider market basket 
input price indexes and the Medicare Economic Index.

    Dated: June 12, 1995.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
[FR Doc. 95-16977 Filed 7-11-95; 8:45 am]
BILLING CODE 4120-01-P