Health News

The Rate Review Practice Note Work Group submitted technical comments to the Center for Consumer Information and Insurance Oversight (CCIIO) on the current versions of the Unified Rate Review Template and the actuarial memorandum instructions. (December 4, 2013)
Susan Pantely, who chairs the Academy's Models of Care Delivery Subgroup, gave a presentation on behalf of the Academy to the National Conference of Insurance Legislators on new models of care delivery. (November 24, 2013)
Audrey Halvorson, who chairs the Academy's Rate Review Practice Note Work Group, made a presentation on behalf of the Academy to the National Conference of Insurance Legislators on the Affordable Care Act's effect on premiums.  (November 21, 2013)
Find out what researchers learned from Oregon’s efforts to expand its Medicaid program and get an inside look at the utilization, finances, and health outcomes of those who were selected in the lottery compared to those who were not. Co-author of the study, Katherine Baicker, PhD, Professor of Health Economics in the Department of Health Policy and Management at Harvard School of Public Health, will lead the discussion in providing an overview of the study, including methods, assumptions, and data received. The study led to some interesting conclusions—register to learn more! (November 15, 2013)
The NAIC's Group Long-Term Disability Valuation Table Implementation (B) Subgroup voted to re-expose the Academy's proposed Group Long-Term Disability Work Group Actuarial Guideline until Dec. 3. (November 15, 2013)
The Health Practice Council sent a letter to members of Congress outlining the potential consequences of proposals that would modify ACA provisions regarding plan cancellations in the individual and small group health insurance markets. Read the news release. (November 14, 2013)
The State Long-Term Care Task Force submitted a comment letter to the NAIC's Long-Term Care Valuation Subgroup regarding proposed changes to the NAIC's Health Insurance Reserves Model Regulation. (November 6, 2013)
The Health Practice Council sent a letter to members of Congress outlining potential adverse consequences of delaying the Affordable Care Act's (ACA) individual mandate and/or extending its open enrollment period. Read the news release. (November 5, 2013)
The Health Practice Financial Reporting Committee released a new issue brief providing an overview of Affordable Care Act provisions - the premium-stabilization programs, new taxes and fees, advanced payments, and existing actuarial liabilities - that may create a certain amount of volatility on future financial statements. (November 1, 2013)
Joint Committee on Retiree Health, Pension Committee, and Pension Finance Task Force sent a letter to the Actuarial Standards Board (ASB) on coordinating Actuarial Standards of Practice (ASOPs) involving retirement benefits. (October 29, 2013)
Health Solvency Work Group submitted responses to questions from the NAIC's Health Risk-Based Capital Working Group regarding HSWG's model that examines expenses within the context of business risk concentration risk. (October 18, 2013)
The Group Long-Term Disability Work Group sent a final proposed group long-term disability actuarial guideline and final report to the NAIC's Health Actuarial Task Force for exposure with comments due by Oct. 30. (October 11, 2013)
The State Long-Term Care Task Force made a presentation to the Southeastern Regulators Association Conference on actuarial implications for long-term care insurance. (October 4, 2013)
Join us for a discussion of the Exhibit 3A instructions, which are new for the 2013 NAIC Health Annual Statement. Presenters will provide an overview of the health care receivables, discuss the purpose of the new exhibit, and share examples with cross references to Exhibit 3 and Underwriting & Investment Exhibit Part 2B. (September 30, 2013)
Health Care Receivables Factors Work Group makes a presentation to the Valuation Actuarial Symposium on the NAIC Health Annual Statement's new Exhibit 3A, which provides guidelines for health care receivables. (September 24, 2013)
Academy/SOA Individual Disability Table Work Group presents update to the Disability Insurance & Long-Term Care Insurer's Forum on work being done to complete the individual disability table. (September 20, 2013)
Learn what’s new and find out what has been updated in the Academy’s practice note, “Large Group Medical Insurance Reserves, Liabilities, and Actuarial Assets,” which provides information for valuation actuaries regarding their responsibilities relating to the determination of reserve levels and other actuarial assets and liabilities for large group medical insurance coverage. The Sept. 27 webinar topics will include the definition of large group medical business; funding arrangements that are currently being used; pertinent regulatory and legislative issues; and asset adequacy analysis. (September 9, 2013)
Health actuaries: Do you calculate minimum or actuarial values under the Affordable Care Act? Register now to learn about the new minimum value and actuarial value requirements under the ACA and some of the technical issues associated with these calculations. (September 6, 2013)
The Medical Loss Ratio (MLR) Work Group submitted additional comments to CMS on the proposed rule implementing MLR requirements for Medicare Advantage (MA) and Medicare prescription drug (Part D) programs. (September 6, 2013)
Joint Committee on Retiree Health submits comments to the Actuarial Standards Board on revisions to a second exposure draft of ASOP No. 6, Measuring Retiree Group Benefits Obligations and Determining Retiree Group Benefits Program Periodic Costs or Prefunding Contributions. (August 30, 2013)