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Project Medicare premiums and IRMAA past the last announced year - #10103

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MaxGhenis wants to merge 4 commits into
premium-inputs-cms-upratingfrom
medicare-part-b-premium-uprating
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MaxGhenis wants to merge 4 commits into
premium-inputs-cms-upratingfrom
medicare-part-b-premium-uprating

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@MaxGhenis

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WIP. Stacked on #10085 (base premium-inputs-cms-uprating), which adds the Part B standard premium series this PR uprates by. It retargets to main once #10085 merges.

gov.hhs.medicare.part_b.base_premium stops at 2026 and has no uprating, so modeled Part B premiums, IRMAA, MSP benefits, SPM medical out-of-pocket spending and every downstream consumer hold $202.90 a month from 2027 on. The Part A premiums, the Part A deductible (still at 2025), the Part B and D IRMAA amounts and the IRMAA thresholds have the same freeze.

Plan

  • Part B standard premium and Part B IRMAA amounts: uprate by the Trustees' projected standard premium (Uprate premium inputs by premium series, not CMS out-of-pocket spending #10085's calibration series), rounded to 10 cents.
  • Part A full and reduced premiums and deductible: Trustees Table V.E1 series, with statutory rounding.
  • IRMAA thresholds (Parts B and D): 42 U.S.C. 1395r(i)(5) CPI-U schedule.
  • Part D IRMAA amounts: 42 U.S.C. 1395w-113(a)(7)(B) on the Trustees' base beneficiary premium, with the IRA's 2030 reset to 20%.
  • Tests: Hypothesis properties, differential tests against Trustees Tables V.E1–V.E4 and CMS's published thresholds, YAML integration tests.
  • Microsimulation impact for 2027 and 2034 under the hub heavy lock.
  • Axiom parity issue.
  • Independent review.

🤖 Generated with Claude Code

MaxGhenis and others added 4 commits October 11, 2026 12:02
The Part B standard premium, Part A premiums and deductible, and the Part B
and Part D income-related adjustment amounts and thresholds held their 2026
values in every later year.

- Part B standard premium and Part B IRMAA amounts uprate by the Trustees'
  projected standard premium (calibration series from #10085), rounded to
  10 cents (42 U.S.C. 1395r(c)).
- Part A full and reduced premiums uprate by the Trustees' projected Part A
  premium (Table V.E1), rounded to $1; the Part A deductible gains its 2026
  value ($1,736) and uprates by the Trustees' projected deductible, rounded
  to $4 (1395e(b)(1)).
- IRMAA thresholds (Parts B and D) follow 1395r(i)(5)'s CPI-U schedule,
  computed from the statutory amounts; the $500,000 tier is indexed from
  2028.
- Part D IRMAA amounts follow 1395w-113(a)(7)(B) applied to the Trustees'
  projected base beneficiary premium, with the (a)(9) percent of 20% from
  2030; this reproduces Trustees Table V.E4 for 2027-2035.

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
Property tests (Hypothesis) for statutory rounding, proportionality,
monotonicity and threshold structure in every projected year; differential
tests against the 2026 Trustees Report Tables V.E1-V.E4 and CMS's published
2020-2026 IRMAA thresholds; a precedence test showing a CMS amount added to
the YAML replaces only its own year; and YAML household cases for 2027-2034.

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
@MaxGhenis

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Coordination note from #10112, which adds the 2015–2023 IRMAA schedules and the 2015–2020 standard Part B premium.

@MaxGhenis

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Heads-up from #10117, which adds the 2015–2020 Part A premiums and the 2015–2023 and 2026 Part A deductibles to the same three files.

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