Please note you must add a minimum of one webcast during the session selection to participate.
The 2020 Health Meeting Webcast Series features ten days of ten Health tracks, allowing attendees to create their own Health Meeting experience by mixing and matching which days and webcasts fit their professional development needs.
Choose from up to three webcasts starting at $144 per webcast with discounts for each additionally purchased webcast.* Buy all three and the third webcast is free! (*Please note discounts are only by webcast purchase within the designated day. No discounts are applied for purchase of multiple dates).
Discounts will be applied at the end of your checkout.
Register for Day 8: Affordable Care Act
What Are We Trying to Prevent Anyways? Considerations When Re-thinking the Preventive Services Definition
11:00 am – 12:15 pm ET
Moderator: Dave Dillion, FSA, MAAA
Presenters: Barbara Collier, FSA, MAAA, Michelle Klein, FSA, MAAA
The introduction of the Patient Protection and Affordable Care Act (ACA) brought about many legislative changes intended to improve the health of people in all healthcare markets (ACA, Medicare, Medicaid, Employer) in the United States. One such changes was the introduction of mandatory zero cost coverage for services determined to be "preventive"based on clinical criteria. In this session, we explore the evolution and scope expansion of the preventive category and other considerations, including historical utilization and cost of existing preventive services, before contemplating possible future changes to the ACA preventive list. This session is targeted towards actuaries working for health plans or state or federal regulatory agencies interested in learning about how the ACA preventive list could be modified to improve the long-term health of populations.
Best Practices for ACA Rate Filings
1:00 pm – 2:15 pm ET
Presenters: Dave Dillon, FSA, MAAA, Annette James, FSA, MAAA, Michael McMahon, ASA, MAAA
This session will feature a panel of health actuaries with intimate knowledge of the ACA rate filing process. Each panelist will deliver a short presentation focused on best practices for specific aspects of the ACA rate filing process including rate development, the creation of rate filing justification documents including actuarial memoranda, responding to rate review objections, compliance with the relevant ASOPs, professionalism and communication. The panel will include health actuaries who provide rate review services for state departments of insurance, health actuaries who provide rate review services for health plans, and health actuaries who develop ACA rates and file ACA rate filing justification documents. Each panelist will present for five to ten minutes, and then the floor will be opened up for questions from the audience and discussion.
The Role of the Actuary in the ACA's 2nd Decade
3:00 pm – 4:15 pm ET
Presenters: Gregory Fann, FSA, FCA, MAAA,
Traditionally, Americans have received health benefit coverage through two distinct and separate platforms: private insurance and government programs (primarily Medicare and Medicaid). Private insurance has been invited to participate in government programs, but the government remains the primary payer of insurance premiums. The ACA blended these platforms with markets that are supported by premiums that are paid by various combinations of personal funds and government subsidies. Market enrollment is lower than anticipated and ongoing challenges are actuarial in nature, particularly with regard to ASOP 12 consideration of risk classification. As we continue to pivot from original ACA design, proposed solutions will require actuarial thought. This roundtable discussion will explore how actuaries can contribute to sound financial policy.