Health

The Health Practice Council (HPC) provides objective technical expertise to policymakers and regulators on major health insurance and health care affordability issues, including Medicare.

Controlling Health Care Spending Growth
Controlling Health Care Spending Growth
Drivers of health care costs and slowing the growth in health care spending.
Health Reform & ACA Implementation
Health Reform & ACA Implementation
Implementation of the Affordable Care Act, the health care reform law passed in 2010, and other health care reform issues.
Financial Reporting, Risk Management and Solvency
Financial Reporting, Risk Management and Solvency
Financial reporting and solvency issues at the state level, such as NAIC-related projects on RBC, as well as emerging international solvency issues and federal regulation of insurance companies.
Medicare/Medicaid
Medicare/Medicaid
Potential reform options addressing Medicare’s financial sustainability, and information on the Medicaid and CHIP programs.
Long-Term Care
Long-Term Care
Federal and state long-term care issues, including the CLASS Act and LTC pricing/valuation.
More Health Issues
More Health Issues

Health News

Committee and Subcommittee Submit Comments on Risk Adjustment Proposed Rule
The Individual and Small Group Markets Committee and its Risk Sharing Subcommittee submitted comments on the Centers for Medicare & Medicaid Services’ (CMS) and Department of Health and Human Services’ (HHS) Aug. 10 proposed rule regarding the adoption of methodology for the HHS-operated permanent risk adjustment program. (September 5, 2018)
Committee Publishes Issue Brief on Auto-Enrollment Into Individual Market Health Insurance Coverage
A new issue brief produced by the Individual and Small Group Markets Committee, Auto-Enrollment Into Individual Market Health Insurance Coverage, provides insights on the potential and challenges of using auto-enrollment in the individual health insurance market, in particular by exploring current uses of auto-enrollment and what would be needed to implement auto-enrollment in the individual market. (September 4, 2018)
Work Group Sends Report to NAIC for an Update to the Property & Casualty and Health Risk-Based Capital Bond
The Joint P&C/Health Bond Factors Analysis Work Group Report to the NAIC Investment Risk-Based Capital (E) Working Group, Health Risk-Based Capital (E) Working Group, and Property and Casualty Risk- Based Capital (E) Working Group on indicated bond risk factors for the Property Casualty Risk Based Capital Formula (P&C RBC Formula) and the Health Risk Based Capital Formula (Health RBC Formula). (July 30, 2018)
Presentation on the AHP, Short-Term Duration and HRA Rules
Individual and Small Group Markets Committee members present at the 2018 SOA Health Meeting on examining rules surrounding association health plans, short-term limited duration insurance plans, and health reimbursement arrangements from the Trump Administration. (June 27, 2018)
More Health News...

Health Public Statements

Comments and letters

Comments, analysis, or explanatory material prepared for an external audience on behalf of an Academy group or the Academy as a whole; these include letters, memos, reports, and fact sheets.

Issue briefs

Analyses of major actuarial or public policy issues written primarily for policy-makers, regulators, the news media, and the public.

Policy papers

Include white papers and monographs which are longer, more detailed analyses of major actuarial or public policy issues written primarily for policy-makers, regulators, the news media, and the public. Includes monographs and white papers.

Presentations

Slides presented by the Academy at webinars, seminars, briefings, hearings, or other meetings and events.

Reports to the NAIC

The Academy works with the National Association of Insurance Commissioners (NAIC) on the creation and refinement of sensible, effective regulation. These reports and related documents highlight the NAIC-related work of the health practice councils.

Testimony

Written and oral testimony provided to Congress or to other governmental and quasigovernmental bodies.

Practice Notes

Practice notes

Practice notes offer examples of current and emerging approaches to selected actuarial tasks. They are intended to supplement the available actuarial literature, especially where the practices addressed are subject to evolving technology, recently adopted external requirements, or advances in actuarial science and other applicable disciplines.