The Academy and the Society of Actuaries jointly sponsored a webinar series on recently released Affordable Care Act (ACA) regulations. During three 90-minute webinars, representatives from the Center for Consumer Information and Insurance Oversight provided an overview of health insurance market reforms (Dec. 10), the three risk-sharing programs (Dec. 13), and essential health benefits and actuarial value (Dec. 14). Each of the webinars, which were moderated by Academy Senior Health Fellow Cori Uccello, attracted more than 800 participants.
Legislative and Regulatory Updates
The Department of Health and Human Services on Nov. 30 released a proposed rule that clarifies several key provisions in the ACA. The rule:
Provides greater detail on payment methodologies and data collection for risk adjustment, risk corridors, and reinsurance programs;
Addresses how to account for risk adjustment, risk corridors, and reinsurance programs in the current medical loss ratio calculation (MLR) and the timing for MLR reporting and rebates;
Provides more information on the administration of advance payments for premium tax credits and cost-sharing reductions;
Clarifies Small Business Health Options Program (SHOP)-related standards that were created in the final rule on the implementation of exchanges.
Comments are due by Dec. 31.
The Office of Personnel Management (OPM) on Dec. 5 issued a proposed rule implementing the Multi-State Plan Program (MSPP), a component of the ACA. The MSPP will consist of two multi-state plans that will be offered by health insurance issuers through contracts with the OPM and made available through each of the available exchanges. The OPM said the rule was developed with input from a broad array of stakeholders and it plans to administer the MSPP in a manner consistent with state insurance laws. Comments are due by Jan. 4, 2013.
In The News/Media Activities
California Insurance Commissioner Dave Jones cited the Academy’s Medicaid decision brief in a Dec. 9 San Francisco Chronicleopinion piece on Medi-Cal expansion.
For a complete listing of upcoming and recent health care reform events click here.
Have ideas to share? We want to hear from you. E-mail us at: health@actuary.org
PLEASE DO NOT REPLY TO THIS EMAIL. THIS EMAIL ADDRESS IS NOT MONITORED.
If you would like more information or to contact the Academy, please visit us at www.actuary.org/content/about-us
Sign up to follow the Academy on Twitter.
Rather not receive Academy emails? Unsubscribe by emailing membership@actuary.org.
1850 M Street NW • Suite 300 • Washington, DC 20036 • 202.223.8196 • www.actuary.org
Copyright 2012 American Academy of Actuaries. All rights reserved.