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White paper

Fine tuning actuarial values, one benefit at a time

7 November 2023

Estimating the impact of cost-sharing changes on the federal actuarial values (AVs) for individual and small group plans that are part of the Affordable Care Act (ACA) is often a guessing game. The U.S. Department of Health and Human Services (HHS) limits the number of non-standardized plan options, so this paper serves as a convenient reference to better estimate AV impacts driven by cost-sharing changes and to optimize issuers’ product portfolio strategy. We cover the following:

  • Introduction, including background on HHS’s AV Calculator (AVC) 
  • AVC sensitivity analysis, strategy, and limitations
  • Next steps

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