Health News

The Health Practice Council presented to the NAIC’s Health Insurance and Managed Care Committee on the potential changes to the Affordable Care Act through possible legislation and administrative actions, and subsequent actuarial considerations. (April 9, 2017)
The Health Practice Council presented to the NAIC’s Health Actuarial Task Force on the potential changes to the Affordable Care Act through possible legislation and administrative actions and the actuarial considerations. (April 7, 2017)
The Individual and Small Group Markets Committee and the Medicaid Subcommittee sent comments to U.S. House Leadership on H.R. 1628, the American Health Care Act (AHCA), which is intended to repeal and replace provisions in the Affordable Care Act. (March 22, 2017)
The Medicaid Funding Work Group published an issue brief addressing key design elements of block grants and per capita caps in relation to program sustainability. (March 17, 2017)
The Individual and Small Group Markets Committee sent 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)
The Individual and Small Group Markets Committee submitted a letter to the Centers for Medicare & Medicaid Services (CMS) regarding the proposed rule on market stabilization. (March 7, 2017)
Academy Senior Health Fellow Cori Uccello and Karen Bender, chairperson of the Academy's Individual and Small Group Markets Committee, submitted testimony on the effectiveness of the individual mandate under the Affordable Care Act (ACA) to a U.S. House Ways and Means Oversight Subcommittee hearing.  (February 6, 2017)
The Health Financial Reporting and Solvency Committee sent comments to the Long-Term Care Valuation (B) Subgroup on asset treatment for stand-alone LTC asset adequacy analysis. (January 26, 2017)
The Individual and Small Group Markets Committee released a public policy paper that outlines what’s needed for a sustainable health insurance individual market, assesses how well the Affordable Care Act has achieved those conditions, and explores how ideas for addressing challenges would affect the market. Read An Evaluation of the Individual Health Insurance Market and Implications of Potential Changes and accompanying news release. (January 18, 2017)
The LTC Reform Subcommittee submitted a comment letter to the Maryland Insurance Administration Public Hearing on Long-Term Care Insurance. (January 6, 2017)
The GASB 74 Implementation Work Group of the Retiree Benefits Subcommittee submitted comments on the GASB 74 implementation guide exposure draft that addresses financial reporting for postemployment benefit plans other than pension plans. (December 19, 2016)
The Property and Casualty Risk-Based Capital Committee and the Health Solvency Subcommittee jointly submitted to the NAIC's Operational Risk Subgroup a comment letter on proposed changes to the operational risk factor in risk-based capital formulas for property/casualty and health.  (December 19, 2016)
The Health Practice Council sent 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. Read the news release. (December 7, 2016)
Laurel Kastrup, the chairperson of the Academy’s Health Financial Reporting and Solvency Committee, testified at a U.S. House Subcommittee on Government Operations hearing on the federal long-term care insurance program. (November 30, 2016)
The LTC Criteria Work Group published an issue brief examining the essential criteria that should be used to analyze long-term care (LTC) financing reform proposals. Read the news release. (November 29, 2016)
The Stop Loss Factors Work Group sent a report to the NAIC Health Risk-Based Capital (RBC) Work Group (E) reviewing the RBC formulas currently used for medical excess of loss business.
(November 14, 2016)
The Risk Sharing Subcommittee and Premium Review Work Group submitted a 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)
The Health Practice Council sent 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)
The Cancer Claims Cost Tables Work Group published a report on developing a new set of valuation tables for use with cancer insurance policies in order to aid actuaries with their pricing and reviewing product filings by providing analysis on the initial data provided by the industry. (August 25, 2016)
The Long-Term Care (LTC) Credibility Monograph Work Group presented an update to the NAIC on a monograph about increasing the awareness of the applicability of credibility procedures to LTCI-related work, providing information on current practices, and outlining considerations and suggestions for advancing actuarial practice in LTCI. (August 25, 2016)