Health News

Individual and Small Group Markets Committee and Risk Sharing Subcommittee submitted comments on the proposed rule for the 2020 notice of benefit and payment parameters (NBPP).
(February 19, 2019)
The LTC Practice Note Work Group published an exposure draft of a practice note to provide a source of information to practicing long-term care (LTC) actuaries seeking to better understand the considerations in evaluating experience, setting assumptions, valuation, and financial reporting. (January 31, 2019)
The Medicaid Subcommittee submitted comments to CMS regarding a proposed rule that would make changes to the Medicaid and CHIP managed care programs. (January 14, 2019)
The Individual and Small Group Markets Committee submitted comments on the October guidance from the Department of the Treasury and the Department of Health and Human Services on State Relief and Empowerment Waivers under Section 1332 of the Affordable Care Act, focusing on three areas: evaluation of coverage comprehensiveness and affordability, evaluation of coverage, and waiver funding. (December 18, 2018)
The Health Practice Council submitted a letter to the Centers for Medicare and Medicaid Services (CMS) in response to its request for comments on proposed rules pertaining to the Medicare Advantage (MA) program, including provisions to revise the risk adjustment data validation (RADV) payment error calculation methodology and process. (December 17, 2018)
The Health Practice Employee Benefits Committee and Individual and Small Group Market Committee submitted comments on the proposed rule regarding Health Reimbursement Arrangements (HRAs), that would create two new types of HRAs—Integrated HRAs and Excepted Benefit HRAs—which would allow employers to provide HRAs that could be used to pay for individual plan premiums and out-of-pocket health costs. (December 13, 2018)
Long-Term Care Valuations Work Group chairperson, Warren Jones, presented an update to the NAIC's Long-Term Care Actuarial Working Group on the progress of the groups activities. (November 14, 2018)
The Academy released a research study, Estimating the Potential Health Care Savings of Reference Pricing, which explores the possibility of using reference pricing to address health care costs, and builds upon existing research by estimating the impact of expanding reference pricing to a broader set of health care services.
(November 1, 2018)
The Long-Term Care Past Losses Considerations Work Group has developed this issue brief to identify issues commonly raised in favor of and against recoupment of past losses in various situations. (October 31, 2018)
The Health Solvency Subcommittee sent comments to the NAIC's Health Risk-Based Capital (E) Working Group on the impact on Health Risk-Based Capital (HRBC) from the Tax Cuts and Jobs Act of 2017 (TCJA). (October 18, 2018)
The Individual and Small Group Markets Committee and its Risk Sharing Subcommittee submitted comments on the Centers for Medicare & Medicaid Services’ (CMS) and Department of Health and Human Services’ (HHS) Aug. 10 proposed rule regarding the adoption of methodology for the HHS-operated permanent risk adjustment program. (September 5, 2018)
A new issue brief produced by the Individual and Small Group Markets Committee, Auto-Enrollment Into Individual Market Health Insurance Coverage, provides insights on the potential and challenges of using auto-enrollment in the individual health insurance market, in particular by exploring current uses of auto-enrollment and what would be needed to implement auto-enrollment in the individual market. (September 4, 2018)
The Joint P&C/Health Bond Factors Analysis Work Group Report to the NAIC Investment Risk-Based Capital (E) Working Group, Health Risk-Based Capital (E) Working Group, and Property and Casualty Risk- Based Capital (E) Working Group on indicated bond risk factors for the Property Casualty Risk Based Capital Formula (P&C RBC Formula) and the Health Risk Based Capital Formula (Health RBC Formula). (July 30, 2018)
Individual and Small Group Markets Committee members present at the 2018 SOA Health Meeting on examining rules surrounding association health plans, short-term limited duration insurance plans, and health reimbursement arrangements from the Trump Administration. (June 27, 2018)
The Long-Term Care & Disability Committee sent comments on proposed legislation to add a long-term care benefit to the Medicare program, evaluating in terms of financing, benefits, and coordination with other programs. (June 15, 2018)
The Medicare Subcommittee published an issue brief, Medicare’s Financial Condition: Beyond Actuarial Balance, on significant concerns about Medicare’s long-term financial health. (June 13, 2018)
A new issue brief produced by the Individual and Small Group Markets Committee, Drivers of 2019 Health Insurance Premium Changes, provides an overview of the general factors underlying premium rate setting and highlights the major components driving premium changes for 2019. Read the news release. (June 13, 2018)
The Individual and Small Group Markets Committee sent comments on a proposed rule that would lengthen the maximum period of short-term, limited-duration (STLD) insurance through amending the definition of STLD. (April 6, 2018)
The Health Practice Council gave a briefing on Capitol Hill to policymakers and congressional and federal agency staff, offering expertise on the drivers of growth in drug expenses; benefits versus costs for new treatments; the impact of high and increasing prescription drug costs on payers; and options to address spending. Read the news release. (March 9, 2018)
The Prescription Drug Work Group published an issue brief highlighting prescription drug issues present in our health care system, including cost drivers, the effect on various stakeholders, and possible approaches that might help address the health care cost growth associated with prescription drugs. (March 7, 2018)