CMS Office of the Actuary Releases 2019 National Health Expenditures Report

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CMS Office of the Actuary Releases 2019 National Health Expenditures Report

On December 16, 2020, the Centers for Medicare & Medicaid Services (CMS) released their report on the National Health Expenditure Accounts (NHEA). The NHEA measures annual U.S. expenditures for health care goods and services, public health activities, government administration, net cost of health insurance, and investments related to health care. According to the CMS, U.S. health care spending grew 4.6% in 2019 and reached $3.8 trillion or $11,582 per person. As a share of the gross domestic product (GDP), health care spending was 17.7% in 2019, up from 17.6% in 2018.

In 2019, health care spending for the broad categories of services and products include:

  • Hospital care spending increased 6.2% to $1.2 trillion, up from 4.2% in 2018;
  • Physician and clinical services spending increased 4.6% to $772.1 billion, up from 4.0% in 2018; and
  • Retail prescription drug spending increased 5.7% to $369.7 billion, up from 3.8% in 2018.  

In 2019, the growth in federal government spending increased 5.8%, up from 5.4% in 2018. The federal government’s increased spending for health care is mainly due to faster growth in federal general revenue and Medicare net trust fund expenditures. Private businesses’ health care spending increased 3.7%, down from 5.7% in 2018 while household’s health care spending increased 4.5%, down from 4.8% in 2018.

Further information is available here.  

SLGE Releases Infographics on Employees’ Views Related to COVID-19

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SLGE Releases Infographics on Employees’ Views Related to COVID-19

On December 14, 2020, the Center for State and Local Government Excellence (SLGE) released two infographics: 1) Public Sector Employee Views on COVID-19: May 2020 vs. October 2020; and 2) K-12 Education Employee Views on COVID-19: March 2020 vs. October 2020. The surveys found that state and local government workers’ negative feelings about working in the public sector during the pandemic have increased from May 2020 to October 2020. Similarly, job satisfaction for K-12 public education employees has declined from 69% to 44% while work hours have increased from March 2020 to October 2020. These employees also report experiencing higher stress levels (63%) and burnout (54%) as compared to all other state and local workers (45% and 41%, respectively).

The information for the infographics is based on an online survey of full-time state and local government employees and K-12 public school employees conducted by Greenwald Research. In January 2021, SLGE expects to issue a full report with additional survey findings.

Further information and the infographics are available here.

American Academy of Actuaries Reports on the Impact of COVID-19 on Public Pension Plans

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American Academy of Actuaries Reports on the Impact of COVID-19 on Public Pension Plans

On December 14, 2020, the American Academy of Actuaries (AAA) published its issue brief, The Impact of the COVID-19 Pandemic on Public Pension Plans. According to the brief, the pandemic may potentially affect plan contributions, investment returns and demographic experience. The intensity of the impact will likely vary substantially from plan to plan depending on the effects of the economic recession in the plan’s geographic region and the exposure of the plan’s participants to COVID-19.

Some plans may be forced to reduce expected investment returns due to budgetary pressures and low interest rates. As a result, it may be even more challenging for plan sponsors to make the needed level of contributions. The brief concludes, “Most public pension plans, however, will likely be able to absorb the short-term impacts of the pandemic. These plans may experience periods of increased contributions to return to full funding, particularly if any contribution shortfalls that arose during the pandemic are not made up in a relatively short amount of time, as the economy and tax revenues recover.”

The brief is available here.

Kaiser Family Foundation Analyzes the Effect of the Pandemic on Employer-Based Health Coverage

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Kaiser Family Foundation Analyzes the Effect of the Pandemic on Employer-Based Health Coverage

On December 9, 2020, the Kaiser Family Foundation (KFF) released its report, How Has the Pandemic Affected Health Coverage in the U.S.?  The report indicates that relatively few workers have lost employer-based health insurance during the pandemic. However, those who lost coverage likely had a safety net in coverage through Medicaid or the Affordable Care Act’s individual market.

While national employment rates decreased by 6.2% from March 2020 to September 2020, enrollment in the fully-insured group market declined by 1.5%. KFF estimated that two to three million people may have lost employer-based coverage during this time period.  (In 2019, about 158 million Americans had employer coverage.)

The report also suggests that the decrease in employer-based health insurance coverage may have been offset by gains in Medicaid enrollment and stable enrollment in the individual market. Medicaid enrollment increased by more than four million people nationally from February 2020 through July 2020. In addition, individual market enrollment was relatively unchanged from March 2020 to September 2020, with less attrition than is typical during those months.

The analysis also explores several possible explanations for the relatively modest decrease in employer-based coverage despite massive job losses. It also notes that even if the uninsured rate has been steady, tens of millions of Americans remain without health coverage during the worst pandemic to affect the country in 100 years.

The report is available here.

NIRS Examines Innovative Public Pension Funding Strategies

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NIRS Examines Innovative Public Pension Funding Strategies

On December 7, 2020, the National Institute on Retirement Security (NIRS) published its report, Beyond the ARC: Innovative Funding Strategies from the Public Sector. The report examines innovative funding strategies utilized for public pension plans in California, Colorado, Indiana, Kentucky, Louisiana, Maine, Montana, New York, North Carolina, Oklahoma, Oregon, Pennsylvania and West Virginia.

While state and local governments may be challenged with budget shortfalls due to the COVID-19 pandemic and recession, the study reports on some case studies of pension funding strategies to address legacy pension costs and may help to stabilize costs over time. Some strategies used include:  1) separate funding strategies for existing liabilities and on-going plan costs; 2) employer side accounts; 3) pension obligation bonds; 4) withdrawal liabilities; and 5) dedicated revenue streams from other sources.

The report concludes, “Given the potential for renewed funding debates, these case studies can serve as a tool for policymakers and stakeholders interested in exploring funding strategies that have been utilized to address funding challenges. These case studies illustrate how different goals were achieved and can help frame funding policy discussions. And, these funding strategies could serve as a model to craft customized funding goals and strategies for pension plans facing similar obstacles.”

The report is available here.

SOA Publishes Report on Defined Benefit Risk

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SOA Publishes Report on Defined Benefit Risk

On December 4, 2020, the Society of Actuaries (SOA) published their Retirement Section report, Defined Benefit Risk: Phase 1 Literature Search Report. The three-phase research project is intended to address the challenges in communicating defined benefit pension risk to stakeholders. The Phase 1 literature search identified articles on pension risk that were published in peer reviewed journals over the last 15 years in addition to submissions on pension risk management of the Social Sciences Research Network (SSRN).

The Phase 1 report covers literature related to: 1) risk management; 2) risk measurement; and 3) risk mitigation. The report states, “There are no “one-size-fits-all” examples of risk disclosures to assist the service provider in communicating pension risks to their clients. However, the literature search produced numerous examples that will help the advisor tailor the risk message, thereby helping the sponsor effectively manage its pension risk. The practitioner needs to be well versed in all aspects of risk management to effectively help his client manage its risk exposures.”

Phase 2 will include interviews with individuals representing various aspects of plan governance and operations including: plan sponsors, finance professionals, consultants and providers. Finally, Phase 3 will review and integrate the findings from Phases 1 and 2, and recommend other areas for additional study.

Jim Anderson, Senior Consultant at GRS, currently serves on the SOA’s Project Oversight Group for this effort.

The report is available here.

NASRA Releases Public Fund Survey Summary of Findings for FY 2019

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NASRA Releases Public Fund Survey Summary of Findings for FY 2019

On December 2, 2020, the National Association of State Retirement Administrators (NASRA) released its Public Fund Survey Summary of Findings for FY 2019. The survey presents key data from 98 public defined benefit (DB) retirement systems with 120 plans, covering 13.0 million active members, 9.8 million retirees and other annuitants, and holding $3.79 trillion in assets.  

Overall, the retirement systems surveyed represent approximately 85% of state and local DB plan membership and assets as of Fiscal Year (FY) 2019. The Summary of Findings presents information regarding plan funding, membership, benefits, contribution rates, cash flows, and actuarial assumptions.

The NASRA analysis notes that, due to the COVID-19 pandemic, there was an unusual level of economic and investment market volatility in 2020. Furthermore, the effects of the recession and market decline may occur in the future with “reduced public sector revenue resulting from the economic recession. These revenue reductions may impair the ability of some states and cities to make their full actuarially determined contribution. In addition, combined state and local government employment has declined significantly since the onset of the pandemic in February. This reduction in public sector employment will affect public pension payroll growth.”  Adding, “The COVID-19 pandemic produced a sudden stop and reversal to recent growth in employment and wages, a trend which, if enduring, could potentially return the public pension payroll experience to a declining or negative status for FY 20 and beyond.”

According to the report: 

  • The average actuarial funded ratio for the surveyed plans was 72.2% in FY 2019, slightly lower than the prior year.  Between FY 2018 and FY 2019, the aggregate actuarial value of assets increased 2.3% and the actuarial value of liabilities increased 2.3%.  Many state and local plans smooth investment gains and losses into the actuarial value of assets over time (typically five years and sometimes longer). 
  • Growth in pension liabilities remains at a median rate below 4.0% (the lowest historical rate), as a result of low salary growth and employment levels among states and local governments and the effects of many pension benefit reforms (mainly reductions) enacted in recent years.
  • The combined allocation of plan assets to public equities and fixed income securities was 71.1% in FY 2019. In recent years, allocations to real estate has steadily increased to 7.4% (the highest level historically) and allocations to alternative investments (such as private equity and hedge funds) has continued to grow to just below 20%. In FY 2019, the allocation to fixed income securities remained about 24% and equities at about 47%. 
  • For most of the Public Fund Survey’s measurement period, the median investment return assumption used by public pension plans was 8.0%. However, in FY 2019, the median actuarial assumption for investment return was 7.25%. Notably, since 2009, many plans have reduced their investment return assumptions.
  • Since the inception of the survey, employer contribution rates have increased significantly mainly due to larger unfunded pension liabilities and often include lower investment return assumptions. For some plans, higher employer contribution rates are the result of a disciplined approach to contribute all or more of their actuarially determined contributions. 

The survey data is available for each individual retirement system and plan in Appendices A and B. The data includes: plan membership, plan assets and liabilities, and actuarial funding levels.  

The summary is available here.  

 

GRS Associates to Speak at WGFOA Conference

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December 3, 2020

GRS Associates to Speak at WGFOA Conference

GRS associates Jim Anderson, Laura Frankowiak, and Rich Koch will present the topic, “How Retirement Systems Establish Contribution Rates” at the Wisconsin Government Finance Officers Association (WGFOA) conference. The session covers retirement plan types (DB and DC), actuarial mathematics, and actuarial assumptions and uses the Wisconsin Retirement System as an example of the process. This virtual session occurs on December 3, 2020.