Creating a Usable Measure of Actuarial Value

October 17, 2011

An Event Sponsored By Consumers Union
Creating a Usable Measure of Actuarial Value

October 17, 2011
Noon – 2:00 PM
Kaiser Family Foundation’s
Barbara Jordan Conference Center
1330 G Street, NW
Washington, DC 20005 (map)

This meeting sought to demystify the concept of actuarial value, review the role of actuarial value in the Affordable Care Act, and hone in on the challenges of creating a measure that can be used to compare health plans.

Agenda

Opening Remarks Karen Pollitz
Senior Fellow, Kaiser Family Foundation
What is Actuarial Value?
[Download Powerpoint Presentation]
Lynn Quincy
Senior Policy Analyst, Consumers Union
Potential Approaches to Calculating Actuarial Value
[Download Powerpoint Presentation]
Cori E. Uccello
Senior Health Fellow, American Academy of Actuaries
Estimating Techniques Affect Actuarial Value
[Download Powerpoint Presentation]
Gary Claxton
Vice President and the Director of the Health Care Marketplace Project, Kaiser Family Foundation
Would Consumers Use a Measure of Actuarial Value?
[Download PDF Presentation]
Lynn Quincy
Senior Policy Analyst, Consumers Union
The Massachusetts Experience – a practical application
[Download Powerpoint Presentation]
Kevin Counihan
President of CHOICE Administrators Exchange Services
Wrap up and Audience Q&A Karen Pollitz
Senior Fellow, Kaiser Family Foundation

Studies Cited:
Beginning 2014, the Patient Protection and Affordable Care Act (PPACA) establishes four levels of coverage based on the concept of “actuarial value,” which represents the share of health care expenses the plan covers for a typical group of enrollees.
NEW STUDY: Early Consumer Testing of the Actuarial Value Concepts, Consumers Union and the Kleimann group, September 2011
Consumers are not familiar with the concept of actuarial value yet they will be asked to use the measure in 2014. This report explores how consumers respond to various actuarial value concepts in use today.
What the Actuarial Values in the Affordable Care Act Mean (PDF), Kaiser Family Foundation, April 2011
This report explores how actuarial value estimates vary depending on the estimating techniques and databases used. As a result, the coverage provisions (like deductibles) associated a given level of actuarial value can vary significantly.
Actuarial Value under the Affordable Care Act (PDF), American Academy of Actuaries, July 2011
This report explores the issues associated with developing a measure of actuarial value that can be used to distinguish plans between benefit coverage tiers while also being administratively feasible.