Presenters will provide health actuaries with information on the relationship between Medicare provider payment rates and those for private insurance. This information is important for understanding how any changes in Medicare provider payment rates could affect private plans. Projecting the effects of moving Medicare to a premium support program also requires the consideration of this key issue. Register today!
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Read about recent health care reform activities in the latest edition of HealthCheck.
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The Casualty, Life, Health, and Professionalism councils submitted comments to the NAIC's Joint Qualified Actuary (A/B/C) Subgroup on the subgroup's two new charges related to defining a "qualified actuary" and recommending a process to address "unprofessional" actuarial work.
( )The Health Solvency Work Group submitted a letter to the NAIC's Health Risk-Based Capital Working Group giving the work group's analysis of possible risks caused by the Affordable Care Act as it relates to health risk-based capital.
( )The Academy/SOA's Cancer Claims Cost Tables Work Group submitted a letter to the NAIC's Health Actuarial Task Force that updated the progress of the valuation table and the work it expects to do over the next six months.
( )The Academy's Large Group Medical Business Practice Note Work Group has released for a 60-day comment period an updated practice note relating to Large Group Medical Business.
( )The Academy's Health Practice Council sent a letter to President Obama and congressional leaders urging them to appoint an actuary to the new Commission on Long-Term Care that was enacted as part of the American Taxpayer Relief Act of 2012. Read the news release.
( )The Health Care Receivables Factors Work Group submitted a updated proposal to the NAIC's Health Risk-Based Capital Working Group providing recommendations for receivables factors in the current RBC formula.
( )The Health Care Receivables Factors Work Group submitted a revised proposal to the NAIC's Health Risk-Based Capital Working Group providing recommendations for receivables factors in the current RBC formula.
( )The Risk Sharing Work Group submitted comments to CMS on the proposed rule, Benefit and Payment Parameters for 2014, addressing payment methodologies and data collection for the risk adjustment, reinsurance, and risk corridor mechanisms in the ACA.
( )The MLR Work Group submitted comments to CMS on the proposed rule, Benefit and Payment Parameters for 2014, addressing proposed changes to the final rule on MLR.
( )The Individual and Small Group Task Force and Premium Review Work Group submitted comments to CMS on a proposed rule regarding health insurance market reforms, which included modifications to the final rule on rate review and disclosure requirements.
( )The Individual and Small Group Market Task Force submitted comments to CMS on the EHB components of the proposed rule, Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation.
( )The Academy's Actuarial Value Subgroup submitted comments in response to a request for information on plan data requirements, specifically asking for clarification on whether any AV-related data collection elements will be consistent with those data elements in the AV calculator.
( )The Health Care Quality Work Group updated its June 2011 fact sheet providing an overview of the Medicare Shared Savings Program and the Pioneer ACO Program.
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