Health News

The Health Care Receivables Factors Work Group submitted a revised proposal to the NAIC's Health Risk-Based Capital Working Group providing recommendations for receivables factors in the current RBC formula.  (January 7, 2013)
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. (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. (December 31, 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. (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. (December 21, 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. (December 20, 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. (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. (December 19, 2012)
The Academy's Actuarial Value Subgroup submitted comments on the proposed rule establishing standards for actuarial value determinations under the Affordable Care Act. (December 18, 2012)
The American Academy of Actuaries and Society of Actuaries are jointly sponsoring a new webinar series on recently released Affordable Care Act (ACA) proposed rules. Join John Bertko, the director of special initiatives and pricing at the Center for Consumer Information and Insurance Oversight, and his colleagues, as they provide an overview of three significant proposed rules related to the ACA, and answer audience questions on the rules. Cori Uccello, senior health fellow at the Academy will be the moderator. The webinars will be held on Dec. 10, 13, and 14. (December 7, 2012)
Long-Term Care Practice Note Work Group member Dawn Helwig presented at the NAIC's Senior Issues Task Force hearing on long-term care regarding actuarial implications for long-term care insurance.  (December 6, 2012)
Senior Health Fellow Cori Uccello presented to the National Conference of Insurance Legislators regarding states' Affordable Care Act Medicaid expansion decisions.  (November 26, 2012)
The Health Solvency Work Group submitted a letter to the NAIC's Health Risk-Based Capital Working Group describing a model that examines administrative expenses within the context of business risk. (November 16, 2012)
The Health Care Receivables Factors Work Group submitted a letter to the NAIC's Health Risk-Based Capital Working Group that provides recommendations for receivables factors in the current RBC formula. (November 16, 2012)
The Group Long-Term Disability Work Group submitted a proposed actuarial guideline to the NAIC's Health Actuarial Task Force (HATF) that will be used to provide instructions for the use of the proposed new Group Long-Term Disability Valuation Table.  (November 14, 2012)
The Academy’s Long-Term Care Practice Note Work Group has published an updated practice note relating to long-term care rate stability under the NAIC’s Long-Term Care Insurance Model Regulation.
(October 23, 2012)
The Academy’s Health Practice Council Communications Committee published a new Campaign 2012 voter guide, A Guide to Analyzing the Issues: Medicare Premium Support. The guide is intended to help voters understand what premium support is and the potential implications of shifting Medicare to a premium support program. Read the news release. (October 9, 2012)
The Academy’s Rate Review Practice Note Work Group published a new practice note on the preparation, review, and disclosure of rate filings under the Affordable Care Act.
(October 9, 2012)
Presenters will provide important information for pricing actuaries when completing an actuarial certification related to pricing long-term care insurance policy forms under the rate stability provisions of the NAIC’s Long-Term Care Model Regulation. Register today! (October 9, 2012)
Join members of the Rate Review Practice Note Work Group on Oct. 12 to learn more about the review and disclosure requirements of “unreasonable” rate increases under the Affordable Care Act (ACA). Presenters will provide an overview of the final practice note and answer questions.
(October 1, 2012)