Health News

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)
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)