Individual and Small Group Markets Committee issue brief providing an overview of the general factors underlying premium rate setting and highlighting the major components driving premium changes in 2018. (
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Indivdiual and Small Group Markets Committee and Medicaid Subcommittee comments on the Better Care Reconciliation Act (BCRA) of 2017, the proposed legislation to repeal and replace provisions in the Affordable Care Act. (
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Presentation at the SOA Health Meeting explaining the role of the Academy and the current legislative and regulatory environment for health care reform. (
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Health Practice Council comments to Senate Finance Committee on improving the individual health insurance market and changing the approach to Medicaid funding.
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Risk Sharing Subcommittee issue brief examining the risk adjustment program implemented under the Affordable Care Act (ACA) and the implications for the program under different potential changes to current insurance market rules. (
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Premium Review Subgroup comments to the Center for Consumer Information and Insurance Oversight on the final 2018 unified rate review template (URRT) instructions. (
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Health Practice Council presentation to NAIC’s Health Insurance and Managed Care Committee on potential changes to the Affordable Care Act through possible legislation and administrative actions. (
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Health Practice Council presentation to NAIC’s Health Actuarial Task Force on potential changes to the Affordable Care Act through possible legislation and administrative actions and actuarial considerations. (
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Indivdiual and Small Group Markets Committee and Medicaid Subcommittee comments on H.R. 1628, the American Health Care Act, the proposed legislation to repeal and replace provisions in the Affordable Care Act. (
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Individual and Small Group Markets Committee comments to the U.S. House Committee on Education and the Workforce on H.R. 1101, the Small Business Health Fairness Act, related to association health plans.
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Individual and Small Group Markets Committee letter to the Centers for Medicare & Medicaid Services regarding the proposed rule for market stabilization. (
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Individual and Small Group Markets Committee issue brief highlighting the various policy considerations and the potential implications of allowing the sale of insurance across state lines. (
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Individual and Small Group Markets Committee issue brief highlighting the various policy consideration and potential implications of establishing association health plans (AHPs). (
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Individual and Small Group Markets Committee issue brief providing an overview of three potential high-risk pool approaches to covering the costs of high-risk enrollees and examining the implications of various design features, including eligibility criteria, benefit coverage, funding sources, and regulatory responsibility. (
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Individual and Small Group Markets Committee issue paper examining the experience in the Affordable Care Act (ACA) individual market, outlining the conditions necessary for a sustainable market, examining whether these conditions are currently being met, and discussing the implications of potential changes to improve the ACA market rules or replace ACA with an alternative approach. (
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Health Practice Council letters to both the U.S. House and Senate on potential adverse consequences of repealing provisions of the Affordable Care Act (ACA) without having a replacement approach in place, and the challenges faced by eliminating the reimbursements to insurers for cost-sharing reduction subsidies.
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Risk Sharing Subcommittee and Premium Review Work Group letter to the U.S. Department of Health and Human Services (HHS) regarding the proposed rule for the 2018 benefit and payment parameters. The comments address proposed changes to the risk sharing mechanisms, market reforms, and rate review provisions. (
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Health Practice Council letters to both the U.S. House and Senate on potential adverse consequences of legislation to weaken the Affordable Care Act’s (ACA) individual mandate. (
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