Health Reform & ACA Implementation

Implementation of the Affordable Care Act, the health care reform law passed in 2010, and other health care reform issues.

Medicare Steering Committee issue brief describing the current payment system, providing an overview of the goals of the Medicare Advantage program and addressing two of the alternative mechanisms (and some variations) for reducing payments to Medicare Advantage plans. (October 1, 2009)
Federal Long-Term Care Task Force letter to the Senate Committee on Health, Education, Labor and Pensions regarding actuarial issues and policy implications on the the Community Living Assistance Services and Supports Act (CLASS Act). (July 22, 2009)
Health Practice Council testimony to the U.S. House Committee on Ways and Means outlining three criteria to ensure that the current markets remain viable, and offering comments on how certain provisions of the Tri-Committee bill conform with those criteria. (June 24, 2009)
Health Care Quality Work Group issue brief defining value-based insurance design (VBID), providing an overview of its prevalence, examining barriers to implementation, and reviewing policy considerations. (June 1, 2009)
Medicare Steering Committee comments on the first in a series of Senate Finance Committee policy options papers, Transforming the Health Care Delivery System. (May 29, 2009)
Health Practice Council comments on the Senate Finance Committee’s series of policy options papers, Expanding Healthcare Coverage: Proposals to Provide Affordable Coverage to All Americans. (May 22, 2009)
Mita Lodh, Michelle Raleigh, and Ross Winkelman webinar slides on risk assessment, risk adjustment, how risk adjustment is used, and issues for consideration in a health reform context. (May 20, 2009)
Health Practice Council testimony to the House Ways and Means Committee on three actuarial principles that should be considered when determining whether health reform proposals will lead to improved insurance markets with greater access and affordability. (April 22, 2009)
Task Force on Genetic Testing in Health Insurance issue brief reviewing the fundamentals of risk selection and risk classification to help policymakers and the public better understand the role that risk classification plays in the voluntary individual health insurance market. (March 1, 2009)
Uninsured Work Group's Capitol Hill briefing on the information provided in the health spending growth issue brief. (September 22, 2008)
Health Care Quality Work Group issue brief discussing current assessments of health care quality, the process for incorporating new treatment protocols and technologies into health insurance coverage, and the policy implications of comparative effectiveness research. (September 1, 2008)
Uninsured Work Group issue brief providing comments on the limitations of certain proposals to address the drivers of health spending growth and highlighting those proposals with significant potential. (September 1, 2008)
Health Practice Council testimony to National Conference of Insurance Legislators (NCOIL) at a meeting about dependent health benefits. (July 11, 2008)
Uninsured Work Group issue brief discussing the fundamental principles of insurance, whether and how they apply to health coverage plans, and the implications of deviating from those fundamental principles. (July 1, 2008)
State Health Committee testimony, and related slide presentation, discussing rising health care costs in the context of health reform proposals to address the problem of the uninsured, including some of the drivers of costs and the considerations necessary to assess the impact of any potential cost control measure. (May 30, 2008)
Small Group Market Task Force issue brief describing the types of medical insurance pools, highlighting issues that are fundamental to pooling, and illustrating how changes within a multiple small-employer pool would affect medical costs. The issue brief also describes different rating methods and examines the potential effects of introducing a new rating mechanism in an existing insurance market. (September 30, 2006)
Uninsured Subgroup updated issue brief providing insights on the fundamental questions facing policy-makers and health coverage sponsors, such as: What is health insurance coverage? What are ways to provide health care for the uninsured? What are the roles of individuals, employers, and government in health care financing? (December 31, 2005)
Health Care Quality Work Group issue brief exploring definitions and measures of health care quality and examining the pay for performance approach to rewarding improvements in quality, particularly in the Medicare program. (October 1, 2005)