Health

The Individual and Small Group Markets Committee sent comments to Centers for Medicare & Medicaid Services on rules finalized in the 2020 Notice of Benefit and Payment Parameters (NBPP) concerning risk adjustment data validation (RADV)-related transfers.

Members of the Telehealth Work Group presented on the topic of telehealth along with the debut of their new issue brief with moderator Cori Uccello, senior health fellow, to a policy audience of Capitol hill staff.

The Telehealth Work Group has released a new issue brief exploring the perspectives of the patients and providers, while also analyzing the financial, legal and regulatory aspects associated with telehealth.

The Health Practice Council released an issue brief, Surprise Medical Bills: An Overview of the Problem and Approaches to Address It, providing an overview of the surprise-billing problem and insights on approaches how to address it. Read the news release.

Health Solvency Subcommittee comments to the NAIC Health Risk-Based Capital (HRBC) Working Group in response to the HRBC Working Group comment letters received on the exposure of the Draft Bond Structure and Instructions.

Members of the LTC Reform Subcommittee submitted comments following their discussion with the Federal Interagency Task Force on Long-Term Care Insurance (LTCI) earlier this year. These comments reiterate and expand on their original discussion including addressing regulatory hurdles to innovation.

The Long-Term Care Valuation Work Group presented updates on the mortality and lapse tables development

The Group Life Waiver Valuation Table Work Group updated the Health Actuarial Task Force of the National Association of Insurance Commissioners on group life waiver of premium mortality and recovery tables development.

The Long-Term Care (LTC) Valuation Work Group presented an update on their recent activity to the Actuarial Working Group of the National Association of Insurance Commissioners.

The Long-Term Care Combination Product Valuation Work Group updated the Long-Term Care (LTC) Actuarial Working Group of the National Association of Insurance Commissioners on the LTC Combination Product Valuation Practice Note currently exposed for comment.

The Health Practice Council submitted comments in response to the Actuarial Standards Board’s (ASB) second exposure draft of a proposed actuarial standard of practice (ASOP) titled Setting Assumptions.

The Long-Term Care (LTC) Combination Product Valuation Work Group exposed the LTC Combination Product Valuation Practice Note to provide information to actuaries on current and emerging practices in which their peers are engaged with respect to the considerations in the statutory, Generally Accepted Accounting Principles (GAAP) and tax valuation of long-term care combination products.

The Medicaid Subcommittee sent comments on the May 15, 2019 CMCS Informational Bulletin (CIB) titled Medical Loss Ratio (MLR) Requirements Related to Third-Party Vendors seeking additional clarification.

The Individual and Small Group Markets Committee published an issue brief outlining the major drivers behind why 2020 premiums could differ from those in 2019. The brief focuses primarily on the individual market, yet many of the factors discussed are also relevant to the small group market. Read the news release.

The Individual and Small Groups Committee, the Medicaid Subcommittee, and the Medicare Subcommittee gave a joint presentation at the SOA Health Meeting that reviewed the proliferation of proposals to expand access to public health insurance plans, either to strengthen insurance markets under the Affordable Care Act (ACA), or to replace ACA marketplaces or other health insurance programs altogether. Panelists discussed general approaches for expanding access to public plans and their potential implications.