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
Drivers of health care costs and slowing the growth in health care spending.
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 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.
Potential reform options addressing Medicare’s financial sustainability, and information on the Medicaid and CHIP programs.
Long-Term Care
Federal and state long-term care issues, including the CLASS Act and LTC pricing/valuation.
More Health Issues

Health News

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)

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.


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.


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.