Frequently Asked Questions
Q. Is it possible for our team to submit multiple proposals depending on which way Congress decides to proceed?
A. Each team will submit only one proposal. A proposal might have multiple, coordinated changes to be implemented together.
Q. Will Milliman be modeling the status quo scenario in which ACA runs its course and that way we have a reference point to compare solutions to?
A. Milliman is modeling a status quo scenario in which the ACA runs its course and will be used in Round Two as the reference point.
Q. What is the process for Round 1 submissions? Are we allowed only one submission, or can we resubmit with edits? Can we submit partial papers in two different submissions?
A. Teams are welcome to submit papers as early and often as they wish; however, only the most recent submission will be forwarded to the judges. If you elect to edit portions of your paper, a complete replacement submission must be made. As of 11:59pm EST on Dec. 9, 2016, the most recent submission will be considered the Round 1 submission for each team.
Q. Does the individual health insurance market include Medicaid-eligible people?
A. The individual health insurance market does not include people covered by Medicaid. Proposals can consider migration to and from the Medicaid market depending upon the reforms proposed. We can only identify a new Medicaid-eligible person based upon income level, age, gender, family status, and/or risk factor, and not on specific condition categories.
Q. Could even some people now covered under group insurance be considered part of the individual health market?
A. The baseline (current law) scenario starts with the current definition of group markets: small group up to 50 employees and large group from 51 employees and up. Proposals can consider whether these group markets should be combined with the individual market (e.g., current Massachusetts law has a merged individual/small group market), but changes to just the group markets will not be considered unless they have a direct and measurable impact on the individual market.
Q. Are all people eligible for group coverage excluded from the individual health insurance market?
A. All those eligible who have current coverage through the group market are excluded from the individual health insurance market in the baseline scenario. However, if they are uninsured, they will be counted among the uninsured. Our model can reflect migration over the projection period between the group markets and individual market due to well-defined and measurable reform changes.
Q. Are currently uninsured people considered part of the individual health insurance market?
A. The currently uninsured are in their own “market.” However, their characteristics (employment, income status, etc.) are considered when determining their choices under proposed changes. The model reflects migration between the uninsured market and the individual market based upon the reform conditions proposed.
Q. Should teams consider or disregard other areas of the individual health insurance market?
A. The base scenario considers only people with comprehensive medical coverage as being insured in either the individual or group markets (this includes people in grandfathered and “grandmothered” or transitional plans, who are identified as such as part of the individual market). You may consider treatment of grandfathered and grandmothered plans separately as part of your proposal. People with only supplemental or short-term medical insurance are considered to be uninsured and are not uniquely identified.
Q. How open is the Actuarial Challenge to other definitions of the individual health insurance market?
A. We are certainly open to inquiries about how other definitions might be considered in the modeling aspects of the Actuarial Challenge. However, the base scenario, which will be the common starting point for all proposals, is set; any change would be measured against that scenario.
Q. What is the deadline for submission of Round 1 papers?
A. The submission deadline for Round 1 papers is 11:59pm EST, Dec. 9, 2016.
Q. Are test submissions permitted, or just a final submission?
A. Teams are encouraged to perform a test submission at their earliest convenience. As of 11:59pm EST on Dec. 9, 2016, the most recent submission will be considered the Round 1 submission for each team.
Q. Can a “losing team” member continue participation, or request to join a “winning team”? Can they “watch along”?
A. Participants not selected for Round 2 will be able to monitor the Actuarial Challenge website for updates, but will not be able to join other teams.
Q. Is our team permitted to add other members at this time?
A. Registration was extended to Nov. 13, 2016, for preformed teams. For individuals seeking to join teams, registration closed on Nov. 11, 2016.
Q: What is your view of getting feedback on my proposal from other actuaries? Do I need to have them on the team, or can I get input from actuaries but not have them officially on the team?
A: You are welcome to set up your team however you wish, including being a team of one. However, keep in mind that if others assist but do not register as team members, they cannot be listed or acknowledged as authors on the submitted paper.
Q. I am interested in putting a team together to take part in the RWJF Actuarial Challenge. What do I need to do to sign up?
A. You sign up on this website under the “Take the Challenge” tab; other tabs will give you more information on the Actuarial Challenge. There are terms and conditions you must agree to before submitting your application.