Edition

The ACA@15 – A Retrospective Analysis of the Impact of this Act on the Healthcare Landscape in the Past 15 Years

Background and Purpose

On March 23, 2010, the Patient Protection and Affordable Care Act (ACA) was signed into law. The implied purpose of this law was to provide coverage to many individuals who were not eligible for coverage or able to afford it. Since then, there have been numerous legislative and regulatory adjustments to this legislation made with different intentions in mind. How has the ACA delivered on its original intent? How have changes to its implementation and to some of its provisions impacted the uninsured rate and the affordability of coverage.

In 2020 the Society of Actuaries published a 10 year retrospective on the ACA titled: Fifty States, Fifty Stories: A Decade of Health Care Reform Under the ACA as part of the Health Section’s ACA@10 strategic initiative. This research report provided a comprehensive perspective of the Impact of the ACA on different States based on underlying populations and local policy decisions.

With the 15 years anniversary of the passage of the Patient Protection and Affordable Care Act (ACA) coming up, the SOA is looking for a research paper that will examine how some of the main promises of the ACA and its amendments were delivered on.

Research Objective

The SOA Research Institute Health Care Cost Trends Strategic Research Program and Health Section Council Committees [The Committees] are seeking researchers to compare the intended effects of the ACA and its amendments since the implementation of each provision. Components to evaluate could potentially include:

  • Impact on the Uninsured Rate including:
    • Where did uninsured reductions take place?
    • Reasons for the remaining uninsured
  • Impact on Affordability
  • Impact on Specific Markets including:
    • Individual
    • Small Group
    • Medicaid
    • Employer Sponsored Coverage
    • Medicare
  • Impact to Insurer Profitability and Pricing Including:
    • The Age Curves
    • Smoker Rates
    • Risk Adjustment
    • Medical Loss Ratio Requirements
  • State Medicaid Innovations
  • Impact on Provider Networks and Access to Care

Note that the list above is not meant to be exhaustive but is intended to provide general guidance on the desired scope of the desired research.

Letter of Intent

Parties that wish to participate must submit a brief Letter of Intent (LOI) providing the following information:

  1. List the topic addressed in the research.
  2. The proposed title of the report and purpose of the research.
  3. Literature review of prior research (both actuarial and non-actuarial work) and its findings.
  4. A description of the research project (data and specific methods) and how it might be used by practicing health actuaries now or in the future.
  5. A description of the expected deliverables, tools or other resources
  6. A rough estimate of the funding requirements, the ability of the applicant(s) to access any data needed.
  7. The qualifications (including any actuarial designations and any relevant experience in industry) of the applicant(s)
  8. A timeframe for completion of the research.
  9. LOIs will be no more than 2 pages, with no less than 1-inch margins, no less than 11- point font, and no less than a space and a half. Quality of writing in the LOI will be a decision factor.

Letters should be submitted to Research-HCCT@soa.org by the end of the day on January 8, 2024. Decisions on whether an applicant will be invited to submit a full proposal based on the LOI will be communicated by February 2, 2024.

Full Proposal Requirements

Parties who are invited to submit a full proposal would then provide the following information:

  1. Resumes of the researcher(s), including any graduate student(s) expected to participate, indicating how their background, education and experience bear on their qualifications to undertake the research. If more than one researcher is involved, a single individual should be designated as the lead researcher and primary contact. The person submitting the proposal must be authorized to speak on behalf of all the researchers as well as for the firm or institution on whose behalf the proposal is submitted.
  2. An outline of the approach to be used (e.g., literature search, model, etc.), emphasizing issues that require special consideration. Details should be given regarding the techniques to be used, collateral material to be consulted, and possible limitations of the analysis.
  3. A detailed description of the expected deliverables and any supporting data, tools or other resources.
  4. Cost estimates for the research, including computer time, salaries, report preparation, material costs, etc. Such estimates can be in the form of hourly rates, but in such cases, time estimates should also be included. Any guarantees as to total cost should be given and will be considered in the evaluation of the proposal. While cost will be a factor in the evaluation of the proposal, it will not necessarily be the decisive factor.
    As a guide for developing the project budget, please review the Historical Project Cost Guide (see Appendix)
  5. A schedule for completion of the research, identifying key dates or time frames for research completion and report submissions. The Health Care Cost Trends (HCCT) Strategic Research Committee is interested in completing this project in a timely manner.
  6. Suggestions in the proposal for ensuring timely delivery, such as fee adjustments, are encouraged.
  7. Other related factors that give evidence of a proposer's capabilities to perform in a superior fashion should be detailed.

Full Proposals should be submitted to Research-HCCT@soa.org by the end of the day on March 11, 2024. Decisions on whether a proposal is chosen will be communicated by April 5, 2024.

Selection Process

The Committees will appoint a Project Oversight Group (POG) to oversee the project. The Committees are responsible for recommending the proposal to be funded. Input from other knowledgeable individuals also may be sought, but the Committees will make the final recommendation, subject to Society of Actuaries Research Institute (SOA) leadership approval. An SOA staff research actuary will provide staff actuarial support.

Questions

Any questions regarding this RFP should be directed to Research-HCCT@soa.org.

Conditions

The selection of a proposal is conditioned upon and not considered final until a Letter of Agreement is executed by both the Society of Actuaries Research Institute and the researcher.

The Society of Actuaries Research Institute reserves the right to not award a contract for this research. Reasons for not awarding a contract could include, but are not limited to, a lack of acceptable proposals or a finding that insufficient funds are available. The Society of Actuaries Research Institute also reserves the right to redirect the project as is deemed advisable.

The Society of Actuaries Research Institute plans to hold the copyright to the research and to publish the results with appropriate credit given to the researcher(s).

The Society of Actuaries Research Institute may choose to seek public exposure or media attention for the research. By submitting a proposal, you agree to cooperate with the Society of Actuaries in publicizing or promoting the research and responding to media requests.

The Society of Actuaries Research Institute may also choose to market and promote the research to members, candidates and other interested parties. You agree to perform promotional communication requested by the Society of Actuaries Research Institute, which may include, but is not limited to, leading a webcast on the research, presenting the research at an SOA meeting, and/or writing an article on the research for an SOA newsletter.

Conflict of Interest

You agree to disclose any of your material business, financial and organizational interests and affiliations which are or may be construed to be reasonably related to the interest, activities and programs of the Society of Actuaries Research Institute.

Appendix

The cost ranges below are intended as a guide for budgeting project costs for proposals in response to SOA Research Institute Request for Proposals (RFP). Please note these figures span the 33rd to 66th percentiles for all projects as well as projects that involve a specific approach (lit review, survey, etc.). They are based on historical costs over several recent years. Expected costs for some RFPs may fall outside these ranges depending on the nature of the work and resources required for completion.

All Contracted Projects

This category includes all contracted projects that the Institute has undertaken within the last several years.

The 33rd-66th percentile project costs range is $25,000 - $50,000.

Literature Reviews

This category includes projects that involved only a literature review or the cost for the portion of a larger project that included a literature review.

The 33rd-66th percentile project costs range is $15,000 - $20,000.

Surveys

This category includes all projects that had a survey as their primary component.

The 33rd-66th percentile project costs range is $28,000 - $55,000.