Health News

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)
The Medicare Part D RBC Subgroup published a report recommending RBC risk factors for Medicare Part D coverage based on analysis of detailed carrier experience, which follows up on an initial report released in 2014. (August 24, 2016)
The Long-Term Care (LTC) Credibility Monograph Work Group published a monograph on 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 17, 2016)
Academy Senior Health Fellow Cori Uccello and Karen Bender, chairperson of the Academy's Individual and Small Group Markets Committee, submitted 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)
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 24, 2016)
The LTC Reform Subcommittee published an issue brief providing an overview of premium rate increases on private long-term care insurance policyholders. Read the news release. (June 2, 2016)
A new issue brief produced by the Individual and Small Group Markets Committee, Drivers of 2017 Health Insurance Premium Changes, provides an overview of the general factors underlying premium rate setting and highlights the major components driving premium changes for 2017 under the Affordable Care Act (ACA). Read the news release. (May 9, 2016)
The LTC Reform Subcommittee submitted a comment letter to the Maryland Insurance Administration Public Hearing on Long-Term Care Insurance. (April 28, 2016)
The Risk Sharing Subcommittee sent a letter to the Centers for Medicare & Medicaid Services (CMS) with comments on its recent discussion paper, HHS-Operated Risk Adjustment Methodology, that addresses partial year enrollment, use of pharmacy data, use of a concurrent versus prospective model, high-risk enrollee pooling, recalibration of the model, and the transfer formula. (April 22, 2016)
The Health Care Receivables Factors Work Group sent its recommendation on credit risk factors for health care receivables to the NAIC’s Health Risk Based Capital (E) Work Group. (April 15, 2016)
The Risk Sharing Subcommittee published an issue paper that reviews the first year of experience under the Affordable Care Act’s (ACA) risk adjustment program with a focus on experience in the individual market. Read the news release here. (April 12, 2016)
The Cancer Claim Cost Table Work Group presented to the NAIC’s Health Actuarial Task Force (B) on its progress in updating the 1985 cancer claim cost tables. (April 5, 2016)
The Long-Term Care (LTC) Credibility Monograph Work Group presented an update to the NAIC’s Long-Term Care Actuarial Working Group (B). (April 5, 2016)
The Long-Term Care (LTC) Principle Based Reserve (PBR) Work Group presented its final report to the NAIC’s Long-Term Care Actuarial Working Group (B). (April 5, 2016)
The Risk Sharing Subcommittee presented an update to the Health Actuarial Task Force (B) on its report about the risk adjustment program. (April 5, 2016)
The Premium Review Work Group sent a letter to CCIIO with comments on the 2017 unified rate review template (URRT) and instructions. (March 30, 2016)
The Health Solvency Subcommittee sent a letter to the NAIC’s Health Risk-Based Capital (E) Working Group with comments on Proposal 2016-01-H’s individual premiums and claims footnote. (March 28, 2016)
The Medicare Subcommittee sent a letter to the Senate Finance Committee with comments on the Bipartisan Chronic Care Working Group’s Policy Options Document. (January 26, 2016)
The LTC Principle-Based Reserves Work Group sent its final report on a principle-based approach model to the NAIC's Long-Term Care Actuarial Working Group. (January 21, 2016)
The Individual Disability Tables Work Group sent its final report and documentation on a recommended new statutory valuation standard basis for morbidity to the NAIC's Health Actuarial Task Force. (January 21, 2016)