Health Reform & ACA Implementation

Comment / Letter

Comment Letter on Essential Health Benefits Proposed Rule

Individual and Small Group Market Task Force comments to CMS on the EHB components of the proposed rule, Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation.

Comment / Letter

Comment Letter on Plan Data Collection Requirements

Actuarial Value Subgroup comment letter on plan data collection requirements, specificially asking for clarification on whether any AV-related data collection elements will be consistent with those…

Policy Paper

Fact Sheet: Medicare Shared Savings Program and the Pioneer ACO Program

Update of a June 2011 fact sheet by the Health Care Quality Work Group providing an overview of the Medicare Shared Savings Program and the Pioneer ACO program.

Issue Brief

An Actuarial Perspective on Accountable Care Organizations (update)

Update of a June 2011 issue brief by the Health Care Quality Work Group highlighting a number of actuarial issues that should be considered when designing and implementing accountable care…

Comment / Letter

Comment Letter on Actuarial Value Proposed Rule

Actuarial Value Subgroup comment letter on the proposed rule establishing standards for actuarial value determinations under the Affordable Care Act

Issue Brief

Voter Guide – A Guide to Analyzing the Issues: Medicare Premium Support

e to help voters understand what premium support is and the potential implications of shifting Medicare to a premium support program.

Comment / Letter

Actuarial Practices Relating to Preparing, Reviewing, and Commenting on Rate Filings Prepared in Accordance with the Affordable Care Act

Practice note by the Rate Review Practice Note Work Group on the preparation, review, and disclosure of rate filings under the Affordable Care Act.

Issue Brief

Decision Brief: Implications of Medicaid Expansion Decisions on Private Coverage

Decision brief highlighting some of the issues that federal and state policymakers and regulators should consider as they are making their Medicaid expansion decisions.

Comment / Letter

Exposure Draft: Rate Review

Exposure draft of a practice note related to the preparation and review of rate filings under the Affordable Care Act. Comments on Actuarial Practices Relating to Preparing, Reviewing, and Commenting…

Presentation

Health Care Reform After the Supreme Court – An Actuarial Perspective

Health Practice Council webinar slides addressing the Supreme Court decision on the individual mandate and next steps in state and federal implementation of the Affordable Care Act (ACA).