The Health Practice Council (HPC) sent letters to the U.S. House and Senate on Dec. 7, highlighting the potential adverse consequences of repealing provisions of the Affordable Care Act (ACA) without having a replacement approach in place. The letters drew extensive media coverage, with stories by more than 500 media outlets, including the New York Times, CNN Money, The Hill, Kaiser Health News, National Public Radio’s “All Things Considered” national news radio program, and the Los Angeles Times. The Washington Post directly cited from the Academy’s letters in a Dec. 10 editorial arguing for the immediate need for a replacement plan in case the ACA is repealed.
The U.S. House Committee on Oversight and Government Reform’s subcommittee on government operations held a Nov. 30 hearing to examine premium increases for enrollees of the federal long-term care insurance (LTCI) program. Laurel Kastrup, chairperson of the Academy’s Health Financial Reporting and Solvency Committee, presented testimony on behalf of the Academy on the importance of actuarial input to considering, designing, and evaluating any potential LTCI reform approaches. Watch the video of the hearing here.
The LTC Criteria Work Group released an issue brief on Nov. 29 examining the essential criteria that should be used to analyze LTC financing reform proposals. The criteria cited as essential include: coverage; comprehensiveness of benefits; quality of care; understandability and choice; affordability; risk management and cost control; and financial soundness and sustainability.
On Nov. 14, the Stop Loss Factors Work Group sent a report to the NAIC Health Risk-Based Capital (HRBC) Working Group (E) reviewing the risk-based capital formulas currently used for medical excess of loss business. David Olsho, chairperson of the Academy’s work group, gave a summary of the report at the NAIC Fall 2016 National Meeting, at which the stop loss factor proposal (2016-17-CA) to incorporate a tiered factor approach on stop loss premiums was exposed for 30 days. The HRBC Working Group also exposed the Medicare Part D factor proposal (2016-16-CA) based on an Academy report that was published in August.