Health Reform & ACA Implementation

Implementation of the Affordable Care Act, the health care reform law passed in 2010, and other health care reform issues.

Health Practice Council comments to Senate Finance Committee on improving the individual health insurance market and changing the approach to Medicaid funding.
(May 23, 2017)
Risk Sharing Subcommittee issue brief examining the risk adjustment program implemented under the Affordable Care Act (ACA) and the implications for the program under different potential changes to current insurance market rules. (May 10, 2017)
Premium Review Subgroup comments to the Center for Consumer Information and Insurance Oversight on the final 2018 unified rate review template (URRT) instructions. (April 27, 2017)
Health Practice Council issue brief examining ways in which the individual health insurance market can be strengthened and made more viable.
(April 24, 2017)
Health Practice Council presentation to NAIC’s Health Insurance and Managed Care Committee on potential changes to the Affordable Care Act through possible legislation and administrative actions. (April 9, 2017)
Health Practice Council presentation to NAIC’s Health Actuarial Task Force on potential changes to the Affordable Care Act through possible legislation and administrative actions and actuarial considerations. (April 7, 2017)
Indivdiual and Small Group Markets Committee and Medicaid Subcommittee comments on H.R. 1628, the American Health Care Act, the proposed legislation to repeal and replace provisions in the Affordable Care Act. (March 22, 2017)
Individual and Small Group Markets Committee comments to the U.S. House Committee on Education and the Workforce on  H.R. 1101, the Small Business Health Fairness Act, related to association health plans.
(March 8, 2017)
Individual and Small Group Markets Committee letter to the Centers for Medicare & Medicaid Services regarding the proposed rule for market stabilization. (March 7, 2017)
Individual and Small Group Markets Committee issue brief highlighting the various policy considerations and the potential implications of allowing the sale of insurance across state lines. (February 13, 2017)
Individual and Small Group Markets Committee issue brief highlighting the various policy consideration and potential implications of establishing association health plans (AHPs). (February 13, 2017)
Individual and Small Group Markets Committee issue brief providing an overview of three potential high-risk pool approaches to covering the costs of high-risk enrollees and examining the implications of various design features, including eligibility criteria, benefit coverage, funding sources, and regulatory responsibility. (February 10, 2017)
Written testimony on the effectiveness of the individual mandate under the Affordable Care Act (ACA) to a U.S. House Ways and Means Oversight.  (February 6, 2017)
Individual and Small Group Markets Committee issue paper examining the experience in the Affordable Care Act (ACA) individual market, outlining the conditions necessary for a sustainable market, examining whether these conditions are currently being met, and discussing the implications of potential changes to improve the ACA market rules or replace ACA with an alternative approach. (January 18, 2017)
Health Practice Council letters to both the U.S. House and Senate on potential adverse consequences of repealing provisions of the Affordable Care Act (ACA) without having a replacement approach in place, and the challenges faced by eliminating the reimbursements to insurers for cost-sharing reduction subsidies.
(December 7, 2016)
Risk Sharing Subcommittee and Premium Review Work Group letter to the U.S. Department of Health and Human Services (HHS) regarding the proposed rule for the 2018 benefit and payment parameters. The comments address proposed changes to the risk sharing mechanisms, market reforms, and rate review provisions. (October 6, 2016)
Health Practice Council letters to both the U.S. House and Senate on potential adverse consequences of legislation to weaken the Affordable Care Act’s (ACA) individual mandate. (September 22, 2016)
Written testimony on the general factors underlying premium rate setting and the major components driving premium changes for 2017 under the Affordable Care Act to a U.S. House Ways and Means Committee hearing on rising health care premiums. (July 22, 2016)
Individual and Small Group Markets Committee issue brief providing an overview of the general factors underlying premium rate setting and highlighting the major components driving premium changes in 2017 under the Affordable Care Act (ACA). (May 9, 2016)
Risk Sharing Subcommittee letter to the Centers for Medicare & Medicaid Services (CMS) with comments on its recent discussion paper, HHS-Operated Risk Adjustment Methodology. The letter includes comments on partial year enrollment, use of pharmacy data, use of concurrent versus prospective model, high-risk enrollee pooling, recalibration of the model, and the transfer formula.  (April 22, 2016)