Are you interested in learning about technical changes to the risk adjustment methodology, Texas implementing effective rate review and premium alignment rules, new rules on standard benefits and network adequacy? Discover some of the reasons why the 2023 ACA marketplace will look much different in the first year of the Biden administration setting the tone with annual ACA rules. Listen to a panel of consulting actuaries and the Chief Actuary from the Texas Department of Insurance who are deeply involved in state and federal policy, risk adjustment methodology, and continuous monitoring of changing market dynamics. Explore new federal rules, efforts to strengthen enforcement of rating compliance, current considerations in risk adjustment methodology, and the ACA market outlook for 2023 and 2024.
By attending the session, you will be able to:•Understand the impetus and implications of 2023 federal policy changes.•Comprehend which states have passed premium misalignment laws and the resulting price, subsidy, and enrollment impacts.•Understand the technical changes to risk adjustment in 2023 and what is being considered in 2024.•Develop new insights on publicly available data.•Understand the implications these policy changes may have on the future of pricing health insurance benefits, consumer value and enrollment distributions in ACA marketplaces.
TRACK: Spearheading innovation through change, Safeguarding population(s), Protecting long-term economic progress