Health News

The Premium Review Work Group sent a letter to the Mass. Senate regarding an amendment to the state budget that would require the disapproval of any health insurance rates to be “supported by sound actuarial assumptions and methods.” (November 1, 2011)
A joint work group comprised of members of the SOA Long-Term Section Council and the Academy’s Federal Long-Term Care Task Force submitted a letter to HHS Secretary Sebelius regarding the department’s extension of the Genetic Information Nondiscrimination Act (GINA) to long-term care insurance in proposed regulations.  (October 13, 2011)
Exchanges Work Group comments to CMS in response to proposed regulations establishing health insurance exchanges and qualified health plans under the ACA.  (October 6, 2011)
The Academy recently sent a letter to the NAIC Medigap PPACA Subgroup offering comments on the subgroup’s new discussion paper, Medicare Supplement Insurance First Dollar Coverage and Cost-Shares. (October 4, 2011)
The Academy recently sent a comment letter to the members of the new Joint Select Committee on Deficit Reduction urging action to improve the long-term solvency and sustainability of the Medicare program.  (August 31, 2011)
The Academy/SOA Long-Term Disability Work Group gave an update to the NAIC's Health Actuarial Task Force on the work group's progress regarding the creation of a valuation table for group long-term disability. The work group expects the table to be completed by March of 2012.  (August 31, 2011)
The Academy's Medicare Supplement Work Group sent a letter to the NAIC's Medicare Supplement Refund Formula Subgroup with a proposed charge to have the work group review the Medicare Supplement Refund Formula for potential changes that may need to be addressed.  (August 31, 2011)
The Academy's Medicaid Work Group presented to the Centers for Medicare and Medicaid Services (CMS) on the Medicaid rate-setting process for Medicaid Managed Care programs. The presentation included a discussion about base data sources, base data adjustments, risk adjustment, risk-sharing arrangements, and performance incentives.  (July 21, 2011)
Co-chairperson of the Joint Academy/Society of Actuaries CLASS Act Task Force Steve Schoonveld gave an update on the Community Living Assistance Supports and Services (CLASS) program at the National Conference of Insurance Legislators (NCOIL) Summer Meeting in Newport, RI (July 21, 2011)
The Academy released a new issue brief, Actuarial Value under the Affordable Care Act. The brief offers an overview of the concept of actuarial value and provides insight into the calculation of actuarial value under ACA.
(July 7, 2011)
The Academy submits written testimony to the House Ways and Means Subcommittee on Health regarding a hearing on the 2011 Medicare Trustees Report. (June 5, 2011)
The Medicare Steering Committee released a new issue brief that summarizes the key cost, access, and quality issues associated with some of the Medicare-related provisions in the various debt and deficit reduction proposals. (May 31, 2011)
The Health Practice Council co-signed a second letter with the Committee on Qualifications Chair to the Arizona insurance director stressing its concern that their regulatory definition of “qualified actuary” for health premium rate actuarial certifications was inappropriate and suggested corrective language. ()
The Long-Term Care Practice Note Work Group has released an exposure draft of the Long-Term Care Rate Stability Practice Note, titled Long-Term Care Insurance Compliance with the National Association of Insurance Commissioners Long-Term Care Insurance Model Regulation Relating to Rate Stability. The practice note will be exposed for a comment period of 30 days. (04/30/2012) ()
The Long-Term Care Practice Note Work Group has extended to July 8 the exposure period for the LTC rate stability practice note, "Long-Term Compliance with the National Association of Insurance Commissioners Long-Term Care Insurance Model Regulation Relating to Rate Stability."  ()