The rules governing the framework of Affordable Care Act (ACA) marketplaces continue to be refined at the state and federal level. The catalyst for such changes has been a desire to improve markets, which has been primarily informed by data and experience in the ACA's first decade. This session will feature a panel of consulting actuaries, a state policy advisor who has influenced ACA legislation, and an attorney deeply involved in ACA risk adjustment litigation. Discussion will include new federal proposals, efforts to strengthen enforcement of rating compliance, new actuarial insights from public data, and the anticipated future implications for ACA markets.
By attending this session, you will be able to:
• Understand what precipitated risk adjustment lawsuits and how proposed federal rules address these concerns.
• Identify how state regulators are addressing premium misalignment between metal levels and shaping local policies.
• Develop new insights on publicly available data.
• Understand the implications these policy changes will have on the future of pricing health insurance benefits, consumer value and enrollment distributions in ACA marketplaces.
• Understand the primary factors leading to ACA market success.