The Academy's Senior Health Fellow has written an issue brief that provides an overview of the basic concepts underlying premium calculations, and highlights and examines several Affordable Care Act-related provisions that could affect premiums.
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Read about recent health care reform activities in the latest edition.
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The Risk Sharing Work Group submitted comments to HHS on the interim final rule implementing amendments to the Notice of Benefit and Payment Parameters final rule.
( )The Rate Review Practice Note Work Group released for comment an addendum to the October 2012 practice note, Actuarial Practices Relating to Preparing, Reviewing, and Commenting on Rate Filings Prepared in Accordance with the Affordable Care Act. Comments on the addendum, which highlights changes to the rate review and disclosure requirements since the initial practice note was finalized, are due by June 3.
( )The Medical Loss Ratio (MLR) Work Group submitted comments to CMS on the proposed rule implementing MLR requirements for Medicare Advantage (MA) and Medicare prescription drug (Part D) programs.
( )Register now for the April 18 webinar to learn more about requirements related to the ACA provision on rate review and disclosure, specifically the final unified rate review template and actuarial memorandum. A representative from the Center for Consumer Information and Insurance Oversight will be available to answer your questions.
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Read about recent health care reform activities in the latest edition.
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Bob Yee, who chairs the Long-Term Care Valuation Work Group, provided a final recommendation at the NAIC's LTC Actuarial Working Group meeting regarding an LTC valuation table and determined that a table is not feasable at this time because of a lack of quality data.
( )The Academy's Individual Disability Table Work Group provided an update to the NAIC's Health Actuarial Task Force at the NAIC's Spring National Meeting highlighting progress on the individual disability table as well as indicating the specific tasks that lie ahead to finish the updated table.
( )Cori Uccello, the Academy's senior health fellow, submitted suggested language on actuarial value to the NAIC's Consumer Information Subgroup for inclusion in a "frequently asked questions" document.
( )The Casualty, Health, Life, and Professionalism Councils sent comments to the NAIC’s Joint Qualified Actuary (A/B/C) Subgroup in response to its request for comments to a list of nine questions in anticipation of the Subgroup’s meeting at the NAIC Spring National Meeting on April 5, 2013.
( )The Medical Loss Ratio Work Group submitted comments to HHS on a proposed rule that requires issuers to offer a new type of individual health insurance policy covering contraceptive benefits. The comments focus only on the effect of the proposed rule on the MLR calculation.
( )Join us to learn more about the recently released minimum value (MV) calculator—an important component of the Affordable Care Act (ACA) implementation. The American Academy of Actuaries will hold this free webinar with representatives from the Center for Consumer Information and Insurance Oversight (CCIIO), who will provide a brief demonstration of the calculator and then answer YOUR questions about the MV calculator.
( )The NAIC Health Actuarial Task Force has exposed for comment the 2012 Group Long-Term Disability Valuation Table, a proposed related Actuarial Guideline, and the proposed modification to the Health Insurance Reserves Model Regulation. Comments are due by May 31. (
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The newly formed Long-Term Care Terminations Work Group sent a letter to the NAIC announciing the work group's formation and its charge to gather data on terminations in long-term care insurance.
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