this exercise contributes to its technical support to the trustees in the preparation of their annual report to the congress about the financial solvency of the medicare programme in addition cms prepares a report on the past financial trends and projected outlook for medicaid which provides an insight into the nature of medicaid cost trends and is a useful source of information for policy makers and budget analysts the cms projections do however represent the official health care projection of the us government these projections are intended in part to provide a broader context for the actuarial projections of medicare and medicaid