Public Policy Issue Briefs

Health Practice Council issue brief providing an overview of risk adjustment and outlining general considerations for implementing a risk adjustment mechanism under PPACA. (May 1, 2010)
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)
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 annual issue brief offering an actuarial perspective on Medicare's financial condition and outlining public policy options to address the program's long-term financial challenges. (May 31, 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)
Natural Catastrophe Subcommittee issue brief describing current issues in insurance ratemaking for catastrophic events. (December 1, 2008)
Committee on Property and Liability Financial Reporting issue brief intended to improve actuarial communications of issues surrounding the use of reserve ranges and variability of unpaid claim estimates. (September 1, 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)
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)
Social Insurance Committee annual issue brief offering an actuarial perspective on the Social Security Trustees Report. (May 1, 2008)
Medicare Steering Committee updated annual issue brief offering an actuarial perspective on Medicare's financial condition. (March 31, 2008)
Consumer Driven Health Plans Work Group issue brief answering several common questions about HSAs, including: what are the different types of consumer driven health plans; who is choosing these types of plans; what impact will they have on health spending growth; and, how will they affect the traditional health insurance market. (October 1, 2007)
Mental Health Parity Work Group updated issue brief providing a description of mental health parity requirements and how group insurance plans have responded to those requirements. The brief also includes a discussion of the cost implications of expanded mental health parity requirements, including the impact on other medical costs. (September 30, 2007)
Social Security Committee issue brief evaluating the structure of basic Social Security benefits. (September 1, 2007)
Social Security Committee issue brief examining Social Security benefits for women. (July 2, 2007)
Social Insurance Committee annual issue brief offering an actuarial perspective on the Social Security Trustees Report.  (May 1, 2007)
Medicare Steering Committee annual issue brief offering an actuarial perspective on Medicare's financial condition. (April 30, 2007)
Social Security Committee issue brief on Investing Social Security Assets in the Securities Market.
(March 1, 2007)
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)