Health Equity Work Group (HEWG) Discussion Brief – Issue in Focus, Health Equity From An Actuarial Perspective: A Deeper Dive Into Health Plan Pricing. This discussion brief, which focuses on questions related to pricing health insurance products, is part of a series to identify areas that may affect health equity. An introductory discussion brief provided an overview of the HEWG’s work.
( )Telehealth Work Group issue brief on telehealth coverage and payment considerations for policymakers now and after the COVID-19 public health emergency.
( )The Health Practice Council submitted a comment letter to the Department of the Treasury, the Department of Labor (DOL), and the Department of Health & Human Services (HHS), on review of agency actions related to the Affordable Care Act and Medicaid, as put forward in a recent presidential executive order. The letter provides references to previous Academy comment letters to agencies regarding relevant proposed rules.
( )The Individual and Small Group Markets Committee and its Risk Sharing Subcommittee comments to the Centers for Medicare & Medicaid Services (CMS) on the Proposed Notice of Benefit and Payment Parameters for 2022.
( )Comments from the Individual and Small Group Markets Committee to the Center for Consumer Information & Insurance Oversight (CCIIO) expressing concerns on the claims data updates finalized in the 2021 Actuarial Value (AV) Calculator. These comments are for consideration in preparing the draft 2022 AV Calculator.
( )Individual and Small Group Markets Committee issue brief outlining the major factors driving premium changes for the next plan year. This year’s issue brief focuses primarily on the impact of COVID-19 on the 2021 premium rate filings.
( )The Health Practice Council has released an issue brief that examines the different types of risks that insurers can face and the various risk mitigation mechanisms that can be used to address them, Health Insurance Risk Mitigation Mechanisms and COVID-19.
( )Health Practice Council answers to frequently asked questions (FAQs) on COVID-19’s potential effects on health care spending and the health insurance system.
( )Comments of the Individual and Small Group Markets Committee and Risk Sharing Subcommittee on the proposed rule for the 2020 Notice of Benefit and Payment Parameters (NBPP).
( )Individual and Small Group Markets Committee comments on the September 30, 2019 bulletin, Opportunity for States to Participate in a Wellness Program Demonstration Project to Implement Health-Contingent Wellness Programs in the Individual Market.
( )Risk Sharing Subcommittee comments on the HHS Risk Adjustment Validation (RADV) White Paper, released on December 6, 2019.
( )Individual and Small Group Markets Committee sent comments to Centers for Medicare & Medicaid Services on rules finalized in the 2020 Notice of Benefit and Payment Parameters (NBPP) concerning risk adjustment data validation (RADV)-related transfers.
( )Health Practice Council issue brief providing an overview of the surprise-billing problem and provides insights on approaches to address it.
( )Individual and Small Group Markets Committee issue brief outlines the major drivers behind why 2020 premiums could differ from those in 2019. The brief focuses primarily on the individual market, yet many of the factors discussed are also relevant to the small group market.
( )This presentation was a session at the SOA Health Meeting where panelists reviewed the proliferation of proposals to expand access to public health insurance plans, either to strengthen insurance markets under the Affordable Care Act (ACA) or to replace the ACA marketplaces or other health insurance programs altogether. Panelists discussed general approaches for expanding access to public plans and their potential implications.
( )This presentation was a session at the SOA Health Meeting which reviewed the challenges the Affordable Care Act (ACA) has faced since its enactment in 2010 and will looked forward to where it’s headed in the future. Panelists discussed current ACA legislative and regulatory activities as well as ongoing ACA litigation.
( )Health Practice Council comments to the U.S. House Committee on Ways and Means regarding its June 12 hearing, "Pathways to Universal Health Coverage."
( )Health Practice Council letter to the U.S. House Committee on the Budget regarding its May 22 hearing, "Key Design Components and Considerations for Establishing a Single-Payer Health Care System."
( )Individual and Small Group Markets Committee comments in response to the Department of Health and Human Services’ request for information on selling insurance across state lines through Health Care Choice Compacts.
( )Premium Review Work Group comments on the recently released final Unified Rate Review Template (URRT) and Instructions. (
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