Healthcare Reform Legislation – Insurance Market Reforms


Session Handout

Healthcare Reform Legislation – Insurance Market Reforms May 19, 2010 12:30 PM - 1:45 PM

This is the third in a series of presentations jointly sponsored by the Society of Actuaries, and the Conference of Consulting Actuaries, and co-sponsored by the American Academy of Actuaries on the "new" national healthcare reform legislation. The series provides an in depth discussion of the key initiatives and impact of the Act on all stakeholders. This third presentation focuses on the impact of health care reform on health plans and on active employer plans and what health plans should be doing now in order to best position themselves for the challenges ahead. Specific issues may include:

Factors Potentially Increasing Costs, including:

  • Shared responsibility surcharge;
  • Free choice vouchers;
  • Required program modifications; and
  • Excise tax.

Cost Saving Approaches, including:

  • Better management of care;
  • Increased Medicaid eligibility;
  • Reduction of benefits; and
  • Termination employer plans.

Positioning Plans for the Challenges Ahead, including:

  • Minimum loss ratios;
  • Changes in risk management;
  • Changes in benefits; and
  • Selling through the exchange.

Credits: CPD: 1.50
  • 1 . Dale H. Yamamoto Red Quill Consulting
  • 2 . William R. Lane Heartland Actuarial Consulting LLC
  • 3 . George B. Wagoner