Health
The Academy Health Practice Council (HPC) is dedicated to providing policymakers and regulators with insights to navigate the complex landscape of health insurance and healthcare affordability.
The HPC’s commitment to objectivity and precision in this vital sector helps shape and inform decisions that impact the lives of millions of Americans every day.


Controlling Health Care Spending Growth
Explore issues pertaining to the drivers of health care costs and slowing the growth in health care spending.
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Financial Reporting, Risk Management and Solvency
Financial reporting and solvency issues at the state level, such as NAIC related projects on RBC, as well as emerging international solvency issues and federal regulation of insurance companies.
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Health Reform & ACA Implementation
Implementation of the Affordable Care Act and other health care reform issues.
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Long-Term Care
Federal and state long-term care issues, including the CLASS Act and LTC pricing/valuation.
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Medicare/Medicaid
Ideas for improving Medicare’s financial stability and insights on Medicaid and CHIP programs.
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Health Resources
DTA Bridge Group Report on Risks Associated with Deferred Tax Assets
Deferred Tax Asset DTA Bridge Group request for an interim report to the NAIC Capital Adequacy Task Force showing the appropriate treatment of the Deferred Tax Asset (DTA) in the Risk-Based Capital…
Practice Note
Practices for Preparing Health Contract Reserves
Health Practice Financial Reporting Committee practice note on practices for preparing health contract reserves.
Comment / Letter
Letter to HHS on ACA Reinsurance Provision
Risk Sharing Work Group letter to HHS regarding the ACA reinsurance provision that references the Academy. The letter includes initial input on potential approaches for identifying high-risk…
Topics: Reinsurance
Letter to HHS on Preventive Services
Benefits and Eligibility Work Group letter to HHS in response to an interim final rule on first-dollar coverage of preventive services.
Topics: Benefits
Comment / Letter
Letter to HHS on Annual/Lifetime Limits and Preexisting Condition Exclusions
Benefits and Eligibility Work Group letter to HHS in response to an interim final rule on ACA provisions that eliminate lifetime limits, restrict annual limits, eliminate preexisting condition…
Topics: Benefits
Comment / Letter
Letter to HHS on MLR Credibility
Medical Loss Ratio Regulation Work Group letter to HHS with input on credibility issues for the purpose of calculating rebates under the new MLR requirements.
Comment / Letter
Letter to HHS on Grandfathered Coverage
Grandfathering Provisions Work Group letter to HHS in response to an interim final rule on the ACA provision related to the status of health insurance coverage as a grandfathered plan.
Topics: Health Insurance
Policy Paper
Health Reform Implementation: Understanding the Terminology
Health Practice Council brief providing definitions for commonly used terms associated with health care reform implemenation.
Comment / Letter
Letter to Massachusetts Legislature on SB 2447
Premium Review Work Group letter regarding Massachusetts Senate Bill 2447, which includes a provision that would limit rate increases to medical CPI.
Comment / Letter
Letter to NAIC on Draft Rate-Filing Disclosure Form
Premium Review Work Group comment letter on the NAIC’s exposure draft of a rate-filing disclosure form that is intended to facilitate the reporting of unreasonable rate increases to HHS.
Topics: NAIC