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

Work Group Comments on Unified Rate Review Template (URRT) and Instructions
Premium Review Work Group sent comments on the recently released final Unified Rate Review Template (URRT) and Instructions. (March 13, 2019)
Expanding Access to Public Insurance Plans
Proposals to expand access to public health insurance plans are being put forward as a way to supplement efforts to strengthen insurance markets under the Affordable Care Act (ACA) or to replace the ACA marketplaces and/or other health insurance programs altogether. Goals of these proposals vary and include increasing access to affordable coverage, exerting downward pressure on provider prices, increasing plan availability, and reducing the number of uninsured. This issue paper from the American Academy of Actuaries Health Practice Council briefly outlines four approaches aiming to achieve such goals and highlights the key design elements that would need to be specified for an approach to be fully evaluated and implemented. Read the news release. (March 4, 2019)
Work Group Issue Brief on Medicaid and Long-Term Care Insurance
The Medicaid and Long-Term Care Insurance Work Group published an issue brief exploring the potential for catastrophic long-term care costs as a major financial risk especially facing older Americans and to help clarify the options currently available for dealing with it. (February 26, 2019)
Committee and Subcommittee Comments on Proposed Notice of Benefit and Payment Parameters for 2020
The Individual and Small Group Markets Committee and the Risk Sharing Subcommittee submitted comments on the proposed rule for the 2020 notice of benefit and payment parameters (NBPP). (February 19, 2019)
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.