Health News

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)
The Long-Term Care & Disability Committee sent comments on proposed legislation to add a long-term care benefit to the Medicare program, evaluating in terms of financing, benefits, and coordination with other programs. (June 15, 2018)
The Medicare Subcommittee published an issue brief, Medicare’s Financial Condition: Beyond Actuarial Balance, on significant concerns about Medicare’s long-term financial health. (June 13, 2018)
A new issue brief produced by the Individual and Small Group Markets Committee, Drivers of 2019 Health Insurance Premium Changes, provides an overview of the general factors underlying premium rate setting and highlights the major components driving premium changes for 2019. Read the news release. (June 13, 2018)
The Individual and Small Group Markets Committee sent comments on a proposed rule that would lengthen the maximum period of short-term, limited-duration (STLD) insurance through amending the definition of STLD. (April 6, 2018)
The Health Practice Council gave a briefing on Capitol Hill to policymakers and congressional and federal agency staff, offering expertise on the drivers of growth in drug expenses; benefits versus costs for new treatments; the impact of high and increasing prescription drug costs on payers; and options to address spending. Read the news release. (March 9, 2018)
The Prescription Drug Work Group published an issue brief highlighting prescription drug issues present in our health care system, including cost drivers, the effect on various stakeholders, and possible approaches that might help address the health care cost growth associated with prescription drugs. (March 7, 2018)
The Individual and Small Group Markets Committee sent comments to the U.S. Department of Labor on proposed rules regarding the definition of ‘‘Employer’’ under section 3(5) of ERISA—Association Health Plans. (March 5, 2018)
The Health Practice Council sent comments to the Idaho Department of Insurance on allowing health insurers to offer state-based plans that are not compliant with the Affordable Care Act in Idaho.  (March 2, 2018)
The High-Performance Network Work Group of the American Academy of Actuaries has released a new issue paper, High-Performance Networks. Drawing on recent public policy debates about addressing health care spending, this paper explores the expansion of high-performance networks (HPNs) which generally focus on delivering high-quality and efficient care, as a potential solution.
(February 27, 2018)
The Individual and Small Group Markets Committee sent comments to the Office of Regulations and Interpretations within the Employee Benefits Security Administration in response to the Department of Labor's proposed rule on the definition of employer—small business health plans. (February 9, 2018)
The Joint P&C/Health Bond Factors Analysis Work Group submitted a discussion draft of a report on P/C and Health bond factors for consideration by the NAIC’s Joint Health RBC and P/C RBC Drafting Group. 
(January 31, 2018)
The Individual and Small Group Markets Committee sent comments to Office of the Assistant Secretary for Planning and Evaluation in response to the Department of Health and Human Services’ request for information on promoting healthcare choice and competition. (January 25, 2018)
The Academy released a summary of select significant regulatory and legislative developments in 2017 at the state, federal, and international levels of interest to the U.S. actuarial profession.
(January 12, 2018)
The winter StateScan Quarterly highlights state legislation in the past quarter related to auto insurance, health insurance marketplace changes, pension plans, principle-based reserving, and more. For a comprehensive review, log in to StateScan, the legislative and regulatory portal free for Academy members. (December 14, 2017)
The Health Practice Council submitted a letter to the U.S. House and Senate providing comments on the potential consequences of eliminating the ACA's individual mandate, as possible in the conference committee for the Tax Cuts and Jobs Act. (December 12, 2017)
The Health Practice International Committee published an issue brief on global aging demographics, quality of life during the end-of-life period, palliative versus curative care, and strategies for address health care challenges at the end of life using case studies from a variety of countries. (December 6, 2017)
The Risk Sharing Subcommittee and Premium Review Work Group submitted comments to the U.S. Department of Health and Human Services (HHS) regarding the proposed rule for the 2019 benefit and payment parameters. The comments address proposed changes to the risk sharing mechanisms, special enrollment periods, essential health benefits, minimum essential coverage, and medical loss ratios.
(November 27, 2017)
The Health Practice Council submitted a letter to the U.S. Senate providing comments on the potential consequences of eliminating the ACA's individual mandate, as recently included in the Tax Cuts and Jobs Act. (November 21, 2017)
The Comparative Effectiveness Work Group of the Health Care Delivery Committee published an issue brief providing an actuarial overview of comparative effectiveness research, including measuring its impact and its potential to reduce health care costs. (November 17, 2017)