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Task Force Submits Comments on Essential Health Benefits Proposed Rule

December 21, 2012
The Individual and Small Group Market Task Force submitted comments to CMS on the EHB components of the proposed rule, Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation.

Work Group Submits Comments on MLR Provisions in Benefit and Payment Parameters Proposed Rule

December 31, 2012
The MLR Work Group submitted comments to CMS on the proposed rule, Benefit and Payment Parameters for 2014, addressing proposed changes to the final rule on MLR.

Work Group Submits Comments on Benefit and Payment Parameters Proposed Rule

December 31, 2012
The Risk Sharing Work Group submitted comments to CMS on the proposed rule, Benefit and Payment Parameters for 2014, addressing payment methodologies and data collection for the risk adjustment, reinsurance, and risk corridor mechanisms in the ACA.

Work Groups Submit Comments on Proposed Rule on Market Reforms

December 21, 2012
The Individual and Small Group Task Force and Premium Review Work Group submitted comments to CMS on a proposed rule regarding health insurance market reforms, which included modifications to the final rule on rate review and disclosure requirements.

Subgroup Submits Comments on Plan Data Collection Requirements

December 20, 2012
The Academy's Actuarial Value Subgroup submitted comments in response to a request for information on plan data requirements, specifically asking for clarification on whether any AV-related data collection elements will be consistent with those data elements in the AV calculator.

Pension Committee Comments on Proposed Revisions to ASOP No. 25

December 28, 2012
The Pension Committee submitted comments to the Actuarial Standards Board responding to its proposed revisions to ASOP No. 25, Credibility Procedures. The comments focused on the exposure draft’s expanded scope of ASOP 25 and raises concerns regarding the standard’s application to pension practice.

This Week, December 17 - December 21, 2012

December 21, 2012

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Health Care Quality Work Group Updates Issue Brief on Accountable Care Organizations

December 19, 2012
The Health Care Quality Work Group updated its June 2011 issue brief highlighting a number of actuarial issues that should be considered when designing and implementing accountable care organizations.

Health Care Quality Work Group Updates Fact Sheet on Medicare Shared Savings Program and Pioneer ACO

December 19, 2012
The Health Care Quality Work Group updated its June 2011 fact sheet providing an overview of the Medicare Shared Savings Program and the Pioneer ACO Program.

Actuarial Value (AV) Subgroup Submits Comments on Proposed Rule Related to AV Determinations under ACA

December 18, 2012
The Academy's Actuarial Value Subgroup submitted comments on the proposed rule establishing standards for actuarial value determinations under the Affordable Care Act.