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  • Group Medical Insurance Large Claims Database Collection and Analysis, Chapter 1: History, Methodology, and Findings
    presents the background to the current study, followed by the methodology used, and a summary of the findings ... findings of the study. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1 ...

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    • Authors: Society of Actuaries
    • Date: Aug 1997
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Professional network leverage; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Actuarial Profession>Academic partnerships; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods; Reinsurance>Health reinsurance
  • Medicare Advantage: Five Years after the ACA
    Medicare Advantage: Five Years after the ACA Medicare Advantage and ACA Patient Protection and Affordable ...

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    • Authors: Andrew Mueller, Yingxuan Li
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • The ACA’s Medical Loss Ratio Provisions: Looking Back
    The ACA’s Medical Loss Ratio Provisions: Looking Back The ACA’s Medical Loss Ratio Provisions Patient ...

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    • Authors: Rowen Bell
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • A Comparative Analysis of Chronic and Non-Chronic Insured Commercial Member Cost Trends
    A Comparative Analysis of Chronic and Non-Chronic Insured Commercial Member Cost Trends Disease management ... chronic diseases chronics. The untested assumption is that without DM, the chronic and non-chronic trends ...

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    • Authors: Ian G Duncan, Robert Bachler, Iver Juster
    • Date: Jun 2005
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership
    • Topics: Enterprise Risk Management>Compliance; Experience Studies & Data>Disability; Experience Studies & Data>Morbidity; Health & Disability>Health care; Health & Disability>Health risks
  • Bariatric Surgery Holds Promise for Patients and for Payors
    Bariatric Surgery Holds Promise for Patients and for Payors An economic analysis of bariatric ... Payors An economic analysis of bariatric surgery and health care costs supports the case for health plans to ...

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    • Authors: John Dawson, Pierre-Yves Cremieux, Arindam Ghosh
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
  • Taxes and Fees Introduced by the ACA
    Taxes and Fees Introduced by the ACA Taxes and Fees Introduced by the ACA Patient Protection and Affordable ...

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    • Authors: Michael Gaal
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Wall of Comments
    Wall of Comments A compilation of feedback from actuaries in the Health Section of the affects of the ...

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    • Authors: Society of Actuaries
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Prologue
    Prologue Introduction to the ACA @ 5 publication Patient Protection and Affordable Care Act= PPACA=Affordable ...

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    • Authors: Jim Toole
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance
    Rather than being assumed at the outset, lapse rates emerge from the model, along with assessment spiral ... ratio projections. Under the model optimal pricing strategy depends on whether the class being rated has ...

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    • Authors: D Wei
    • Date: Feb 2010
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health risks; Modeling & Statistical Methods; Technology & Applications>Analytics and informatics
  • Medicaid and the ACA
    Medicaid and the ACA Medicaid and the ACA Patient Protection and Affordable Care Act= PPACA=Affordable ...

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    • Authors: Rebecca Owen
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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