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

Subcommittee Submits Comments on Medicaid and CHIP Proposed Rule
The Medicaid Subcommittee submitted comments to CMS regarding a proposed rule that would make changes to the Medicaid and CHIP managed care programs. (January 14, 2019)
Committee Comments On (1332) State Relief And Empowerment Waivers Guidance
The Individual and Small Group Markets Committee submitted comments on the October guidance from the Department of the Treasury and the Department of Health and Human Services on State Relief and Empowerment Waivers under Section 1332 of the Affordable Care Act, focusing on three areas: evaluation of coverage comprehensiveness and affordability, evaluation of coverage, and waiver funding. (December 18, 2018)
Council Submits Comments on Risk Adjustment Data Validation (RADV)
The Health Practice Council submitted a letter to the Centers for Medicare and Medicaid Services (CMS) in response to its request for comments on proposed rules pertaining to the Medicare Advantage (MA) program, including provisions to revise the risk adjustment data validation (RADV) payment error calculation methodology and process. (December 17, 2018)
Committees Submit Comments on Health Reimbursement Arrangements and Other Account-Based Group Health Plans
The Health Practice Employee Benefits Committee and Individual and Small Group Market Committee submitted comments on the proposed rule regarding Health Reimbursement Arrangements (HRAs), that would create two new types of HRAs—Integrated HRAs and Excepted Benefit HRAs—which would allow employers to provide HRAs that could be used to pay for individual plan premiums and out-of-pocket health costs. (December 13, 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.