Health Practice Council brief providing definitions for commonly used terms associated with health care reform implemenation. (
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In 2009, the Academy's Health Practice Council introduced a new series of policy statements -- Critical Issues in Health Reform -- to provide an actuarial perspective to policymakers as they grappled with developing comprehensive reform proposals to slow the increase in health care costs, provide affordable and accessible coverage for the uninsured, and promote quality care. These policy statements addressed a variety of issues related to health care reform, providing the implications of various proposals being considered and their potential impact on the health insurance market.
- Actuarial Equivalence (May 2009)
- Administrative Expenses (September 2009)
- Community Living Assistance Services and Supports (CLASS) Act (November 2009)
- Gender Considerations in a Voluntary Individual Health Insurance Market (May 2009)
- Health Insurance Cooperatives (October 2009)
- Individual Mandate (May 2009)
- Market Reform Principles (May 2009)
- Merging the Small and Individual Group Markets (September 2009)
- Minimum Loss Ratios (February 2010)
- Premium Setting in the Individual Market (March 2010)
- Public Plan Option (June 2009)
- Risk Pooling (July 2009)
- State Level Impact and State Characteristics (November 2009)
- Transitioning into New Markets (August 2009)
Health Policy Council call to action urging the President and Congress to restore the long-term solvency and financial sustainability of Medicare. (
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Academy and Society of Actuaries technical report to help policymakers and the public understand the potential implications of an excise tax on high-cost, employer-provided health plans. (
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Joint Academy/SOA technical report and webcast on the start-up capital requirements for health care cooperatives and/or a public plan option.
( )Consumer-Driven Health Plans Work Group monograph summary of results from several experience studies on Consumer-Driven Health Plans. (
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Medicare Steering Committee monograph highlighting various potential approaches for addressing Medicare's financial problems, along with a discussion of their relative strengths and weaknesses. The report also provides an overview of how Medicare is funded and its financial status. (
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Premium Deficiency Reserves Work Group of the Health Practice Financial Reporting Committee discussion paper focuses on health premium deficiency reserves, with examples, common terms and references to authoritative guidance. (
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Health Practice Council fact sheet highlighting findings from a study released by the Society of Actuaries that provides insights into the costs among nonsmokers exposed to secondhand smoke. (
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Health Practice Council backgrounder on issues that should be considered in efforts to design a government-sponsored medical reinsurance program. (
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This 2004 election guide for journalists, policy-makers and citizens to use as they evaluate the candidates’ Medicare proposals. It summarizes several Medicare issues and suggests questions that should be considered when analyzing any proposed changes to the Medicare program. (
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"The Questions Candidates Should Answer About ... Americans Without Health Insurance" (An Election 2004 Guide to Analyzing the Issues). (
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Defined Contribution Health Plan Work Group monograph providing an actuarial model to illustrate the impact of CDHPs on health costs. The monograph examines the theoretical impact of a shift to CDHPs on the various health care system participants. (
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Health Practice Council white paper addressing issues for consideration in the debate over a prescription drug program under Medicare. (
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Terrorism/Extreme Events Work Group monograph examining the impact of catastrophic terrorist events on group and health coverage, including medical benefits and non-medical benefits such as group life, disability, and long-term care. (
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EEOC-ADEA and Retiree Health Work Group outline of six possible methods for addressing the ruling in Erie County Retirees Association vs. Erie County. (
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Retiree Health Work Group outline of six possible approaches that could be used as “safe harbor” methods for meeting nondiscrimination-testing requirements under EEOC guidelines for retiree health care plans. (
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Health Organization Risk Based Capital Task Force's March 2000 progress report to the NAIC on LTC model regulation. (
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Medicare Reform Task Force monograph on one option available to provide prescription drug coverage to seniors – adding prescription drug coverage to Medicare. (
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Medicare Reform Task Force monograph on how Medicare solvency is measured and several proposals to strengthen the financial basis of the program. (
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