Health News

The Risk Sharing Work Group submitted a letter to CMS with comments on the 2014 medical loss ratio (MLR) annual reporting form. (March 31, 2015)
The Long-Term Care Terminations Work Group presented an update to the NAIC’s Long-Term Care Actuarial Working Group on progress made in developing a recommendation on LTC terminations and next steps. The Long-Term Care Principle-Based Work Group offered an update on developing a principle-based approach model and a timeline for completion, and the Long-Term Care Credibility Monograph Work Group presented its progress in drafting a monograph that addresses long-term care credibility. (March 27, 2015)
The Individual and Small Group Market Task Force published an issue brief examining how the rules applying to groups sized 51-100 will change with the Affordable Care Act's scheduled expansion of the definition of small employers to those with up to 100 employees and what that will mean for insurance offerings in the small group market. Read the news release on the issue brief here. (March 2, 2015)
In a Feb. 24 letter to Secretary Burwell, the Health Practice Council urged HHS to consider implementing measures to counter the potential adverse consequences on health insurance premium rate filings in the event the Supreme Court rules for the petitioners in King v. Burwell. Read the news release. (February 24, 2015)
Life Capital Adequacy Committee, Property and Casualty Risk-Based Capital Committee, and Health Solvency Work Group comments to the National Association of Insurance Commissioners (NAIC) on operational risk issues. (January 7, 2015)
The Individual Disability Work Group made a presentation to the NAIC’s Health Actuarial Task Force at the Fall NAIC National Meeting on the newly revised individual disability report and actuarial guideline. (November 18, 2014)
Medicare Supplement Work Group made a presentation to the NAIC’s Health Actuarial Task Force on recommendations for potential modifications to the Medicare Supplement refund formula. (November 18, 2014)
The Medicare Supplement Work Group submitted a report to the NAIC on recommendations for potential modifications to the Medicare Supplement refund formula. (November 12, 2014)
The Medicaid Work Group sent a comment letter to the Centers for Medicare & Medicaid Services on the introduction of Sovaldi and other new  Breakthrough Therapy Designation medications and their potential impact on Medicaid costs. (November 11, 2014)
The Individual Disability Table Work Group provided a revised final report and actuarial guideline on a new individual disability table to the NAIC's Health Actuarial Task Force. (October 31, 2014)
 The Individual Disability Work Group made a presentation to the NAIC’s Health Actuarial Task Force on the newly revised individual disability report and actuarial guideline. (October 31, 2014)
The Rate Review Practice Note Work Group released for exposure a new practice note on rate filings, review, and disclosure under the Affordable Care Act for calendar year 2015 and beyond. Comments on the exposure draft should be submitted by Oct. 27. (October 15, 2014)
The Joint Committee on Retiree Health sent a letter to the Governmental Accounting Standards Board commenting on proposed statements of accounting and financial reporting by governmental employers for other postemployment benefits (OPEBs). (August 29, 2014)
The Long-Term Care Terminations Work Group presented an update to the NAIC’s Long-Term Care Actuarial Working Group on progress made in developing a recommendation on LTC terminations and next steps. (August 15, 2014)
The Long-Term Care Principle-based Work Group presented an update to the NAIC’s Long-Term Care Actuarial Working Group on progress in developing a principle-based approach model and a timeline for completion. (August 15, 2014)
Update to the NAIC’s Long-Term Care Actuarial Working Group on the Long-Term Care Credibility Monograph Work Group’s progress in drafting a monograph that addresses long-term care credibility. (August 15, 2014)
The Health Practice International Task Force published an issue brief providing an overview of the prevalence and costs associated with diabetes internationally and exploring ways in which several countries are addressing the high cost of diabetes. (August 13, 2014)
The Medicare Steering Committee updated its annual issue brief that offers an actuarial perspective on Medicare's financial condition and outlines the public policy options to address the program's long-term financial challenges. (July 31, 2014)
The Medicaid Work Group submitted comments to the Centers for Medicare and Medicaid Services requesting specific guidance on the Affordable Care Act's Health Insurance Providers (HIP) fee and how it affects the Medicaid program. (July 7, 2014)
The Tax Work Group sent a comment letter to the NAIC Health Actuarial Task Force on the tax implications of the 2013 Individual Disability Income Valuation Tables.
(June 26, 2014)