Senior Health Policy Analyst Matthew Williams provided an update on the Health Practice Council (HPC) activities of interest to the NAIC’s Health Actuarial (B) Task Force (HATF) at their recent meeting in Denver, including an update on recent and upcoming HPC publications, other Academy activity and key 2025 events.
( )The Health Practice Council’s Individual and Small Group Markets Committee submitted comments to the Centers for Medicare & Medicaid Services regarding the proposed rule for the 2026 Notice of Benefit and Payment Parameters.
( )The Health Practice Council has released an issue brief, ERISA at 50: ERISA and Health Benefits. The issue brief covers the history of ERISA’s application to health benefits, subsequent amendments to the law, ERISA’s facilitation of coverage under employer-sponsored health plans, and its challenges. Released alongside the issue brief is an executive summary of the brief.
( )The Long-Term Care (LTC) Committee submitted comments to the NAIC’s Long-Term Care Actuarial (B) Working Group (LTCAWG) in response to LTCAWG's August 12, 2024, request for comments on Proposals A and B as candidates for a Single LTCI Multistate Rate Review Approach.
( )Annette James, co-chairperson of the Health Equity Committee (HEC), provided updates on recent HEC activities to the National Association of Insurance Commissioners (NAIC) Special (EX) Executive Committee on Race and Insurance. Topics included using cost-effectiveness as a metric for evaluating new benefits as opposed to using only cost. Behavioral health is also a major focus of the HEC this year to develop a framework that actuaries could use to incorporate other factors into the evaluation of health benefits.
( )Academy Senior Health Fellow Cori Uccello presented on the “Drivers of 2025 federal Affordable Care Act (ACA) Health Insurance Premium Changes” to the National Association of Insurance Commissioners (NAIC) Health Actuarial (B) Task Force during its 2024 Summer National Meeting. The presentation also highlighted the recently released associated issue brief and infographic.
( )Academy Senior Health Policy Analyst Matthew Williams provided an update on the Health Practice Council (HPC) activities of interest to the National Association of Insurance Commissioners (NAIC) Health Actuarial (B) Task Force during its 2024 Summer National Meeting. Topics included key policy priorities and project updates for the HPC, annual Hill and agency visits, as well as current workstreams with the NAIC Health Risk-Based Capital (E) Working Group on tiered risk-based capital factor development.
( )Released alongside the annual issue brief, The Individual and Small Group Markets Committee released an infographic, "Drivers of 2025 Health Insurance Premium Changes—Effects on Premiums". The infographic breaks down, in easy-to-understand language, the factors that may drive health insurance premium changes for the 2025 plan year.
( )The Individual and Small Group Markets Committee released an issue brief, Drivers of 2025 Health Insurance Premium Changes. The brief provides more details on the factors that are likely to drive health insurance premium changes in 2025 for plans operating in the individual and small group markets subject to Affordable Care Act rules.
( )The Long-Term Care (LTC) Committee submitted comments to the NAIC’s Long-Term Care Actuarial (B) Working Group (LTCAWG) in response to LTCAWG's July 2 request for comments on the Minnesota approach.
( )The Health Equity Committee presented at the 2024 SOA Health Meeting on “Improving Data Analysis Using a Health Equity Lens.” The session explored the intersection of health equity and data, including stakeholder perspectives and a Medicaid-focused case study.
( )The Health Practice Council’s Active Benefits Committee and Individual and Small Group Markets Committee responded to the U.S. Senate Committee on Health, Education, Labor and Pensions’ (HELP) request for information regarding portable benefits for self-employed workers and other individuals in nontraditional working arrangements.
( )The Medicare Committee released an issue brief, Medicare’s Financial Condition: Beyond Actuarial Balance, that examines the findings of the 2024 Medicare Trustees Report with respect to program solvency and sustainability.
( )The Health Practice Council submitted comments on the exposure draft of Actuarial Standard of Practice (ASOP) No. 12, Risk Classification (for All Practice Areas).
( )Academy Senior Health Policy Analyst Matthew Williams provided an update on the Health Practice Council (HPC) activities of interest to the National Association of Insurance Commissioners (NAIC) Health Actuarial (B) Task Force during its 2024 Spring National Meeting. Topics included key policy priorities and project updates for the HPC, as well as current workstreams with the NAIC Health Risk-Based Capital (E) Working Group (HRBC) on tiered risk-based capital factor development.
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