The Health Care Receivables Factors Work Group submitted a revised proposal to the NAIC's Health Risk-Based Capital Working Group providing recommendations for receivables factors in the current RBC formula.
( )The MLR Work Group submitted comments to CMS on the proposed rule, Benefit and Payment Parameters for 2014, addressing proposed changes to the final rule on MLR.
( )The Risk Sharing Work Group submitted comments to CMS on the proposed rule, Benefit and Payment Parameters for 2014, addressing payment methodologies and data collection for the risk adjustment, reinsurance, and risk corridor mechanisms in the ACA.
( )The Individual and Small Group Task Force and Premium Review Work Group submitted comments to CMS on a proposed rule regarding health insurance market reforms, which included modifications to the final rule on rate review and disclosure requirements.
( )The Individual and Small Group Market Task Force submitted comments to CMS on the EHB components of the proposed rule, Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation.
( )The Academy's Actuarial Value Subgroup submitted comments in response to a request for information on plan data requirements, specifically asking for clarification on whether any AV-related data collection elements will be consistent with those data elements in the AV calculator.
( )The Health Care Quality Work Group updated its June 2011 fact sheet providing an overview of the Medicare Shared Savings Program and the Pioneer ACO Program.
( )The Health Care Quality Work Group updated its June 2011 issue brief highlighting a number of actuarial issues that should be considered when designing and implementing accountable care organizations.
( )The Academy's Actuarial Value Subgroup submitted comments on the proposed rule establishing standards for actuarial value determinations under the Affordable Care Act.
( )Long-Term Care Practice Note Work Group member Dawn Helwig presented at the NAIC's Senior Issues Task Force hearing on long-term care regarding actuarial implications for long-term care insurance.
( )Senior Health Fellow Cori Uccello presented to the National Conference of Insurance Legislators regarding states' Affordable Care Act Medicaid expansion decisions.
( )The Health Solvency Work Group submitted a letter to the NAIC's Health Risk-Based Capital Working Group describing a model that examines administrative expenses within the context of business risk.
( )The Health Care Receivables Factors Work Group submitted a letter to the NAIC's Health Risk-Based Capital Working Group that provides recommendations for receivables factors in the current RBC formula.
( )The Group Long-Term Disability Work Group submitted a proposed actuarial guideline to the NAIC's Health Actuarial Task Force (HATF) that will be used to provide instructions for the use of the proposed new Group Long-Term Disability Valuation Table.
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