Health

The Health Practice Council (HPC) provides objective technical expertise to policymakers and regulators on major health insurance and health care affordability issues, including Medicare.

Controlling Health Care Spending Growth
Drivers of health care costs and slowing the growth in health care spending.
Health Reform & ACA Implementation
Implementation of the Affordable Care Act, the health care reform law passed in 2010, and other health care reform issues.
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.
Medicare/Medicaid
Potential reform options addressing Medicare’s financial sustainability, and information on the Medicaid and CHIP programs.
Long-Term Care
Federal and state long-term care issues, including the CLASS Act and LTC pricing/valuation.
More Health Issues

Health News

The Academy released a research study, Estimating the Potential Health Care Savings of Reference Pricing, which explores the possibility of using reference pricing to address health care costs, and builds upon existing research by estimating the impact of expanding reference pricing to a broader set of health care services.
(November 1, 2018)
The Long-Term Care Past Losses Considerations Work Group has developed this issue brief to identify issues commonly raised in favor of and against recoupment of past losses in various situations. 
(October 31, 2018)
The Health Solvency Subcommittee sent comments to the NAIC's Health Risk-Based Capital (E) Working Group on the impact on Health Risk-Based Capital (HRBC) from the Tax Cuts and Jobs Act of 2017 (TCJA). (October 18, 2018)
The Individual and Small Group Markets Committee and its Risk Sharing Subcommittee submitted comments on the Centers for Medicare & Medicaid Services’ (CMS) and Department of Health and Human Services’ (HHS) Aug. 10 proposed rule regarding the adoption of methodology for the HHS-operated permanent risk adjustment program. (September 5, 2018)

Health Public Statements

Comments and letters

Comments, analysis, or explanatory material prepared for an external audience on behalf of an Academy group or the Academy as a whole; these include letters, memos, reports, and fact sheets.

Issue briefs

Analyses of major actuarial or public policy issues written primarily for policy-makers, regulators, the news media, and the public.

Policy papers

Include white papers and monographs which are longer, more detailed analyses of major actuarial or public policy issues written primarily for policy-makers, regulators, the news media, and the public. Includes monographs and white papers.

Presentations

Slides presented by the Academy at webinars, seminars, briefings, hearings, or other meetings and events.

Reports to the NAIC

The Academy works with the National Association of Insurance Commissioners (NAIC) on the creation and refinement of sensible, effective regulation. These reports and related documents highlight the NAIC-related work of the health practice councils.

Testimony

Written and oral testimony provided to Congress or to other governmental and quasigovernmental bodies.

Practice Notes

Practice notes

Practice notes offer examples of current and emerging approaches to selected actuarial tasks. They are intended to supplement the available actuarial literature, especially where the practices addressed are subject to evolving technology, recently adopted external requirements, or advances in actuarial science and other applicable disciplines.