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Session 071: Buzz Groups: Managed Care – Next Steps to Reduce Healthcare Costs
Costs One of the Health Section's key focuses in 2019 is Initiative 18/11. Last year the SOA joined ... joined forces with the Kaiser Family Foundation (KFF) and the Healthcare Financial Management Association (HFMA) ...- Authors: Geoffrey Hileman, Roy Goldman, Sara Teppema, Douglas Norris, Sarah Osborne
- Date: Jun 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Public Policy
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2023-health-meeting-session-6f
an overview of recent results and potential scenarios that may impact the future of the ACA market. Review ... to a discussion of how current market dynamics may influence the future profitability of this segment.- Authors: Society of Actuaries
- Date: Jan 2024
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Public Policy
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2023-health-virtual-s04a
payer one price but reimburses the dispensing pharmacy a lower price for the same prescription drug. PBMs ... historically relied on spread pricing as a revenue source. However, a growing number of states are introducing ...- Date: Jan 2024
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Public Policy
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Session 169: Risk Adjustment in Medicaid: Recent Developments
Session 169: Risk Adjustment in Medicaid: Recent Developments The presenters will cover the variation in ... in risk adjustment approaches used across state Medicaid programs and compare them to other Federal programs ...- Authors: Edward M Mailander, Daniel Henry
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Payment models; Public Policy; Public Policy
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2023-health-virtual-s06c
an overview of recent results and potential scenarios that may impact the future of the ACA market. Review ... to a discussion of how current market dynamics may influence the future profitability of this segment.- Date: Jan 2024
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Public Policy
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Group ASO and Minimum Premium Plans
focused on Group ASO and Minimum Premium Plans. Specific topics included: 1. Background - the need ... and 3. Stop-loss provisions. Employee Retirement Income Security Act=ERISA;Stop-loss insuranc ...- Authors: Alan D MacLennan, Henry Siegel, Laurence Swerdlow, Stephen E White
- Date: May 1978
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability; Public Policy
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2023-health-meeting-session-8f
centered around the roles and responsibilities of a valuation actuary. Learn the best practices of health actuaries ... surrounding the calculation and reporting of health liabilities and reserves. This session will focus on key ...- Authors: Society of Actuaries
- Date: Jan 2024
- Competency: External Forces & Industry Knowledge
- Topics: Financial Reporting & Accounting; Health & Disability; Public Policy
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2023-health-meeting-session-9c
The Inflation Reduction Act represents the largest change to the Medicare Part D program since its inception ... 2006. With a complete redesign of the Part D program coming in 2025 (the next bid cycle), there are health ...- Authors: Society of Actuaries
- Date: Jan 2024
- Competency: Results-Oriented Solutions
- Topics: Health & Disability; Public Policy
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2021-healthcare-trends
how technology is embedded into the health care industry. On top of that, you will also hear about topics ... this webcast, you will learn about: ▪ An overview of the health insurance market ▪ Health care provider ...- Authors: Michael Frank, Marc Altschull
- Date: Sep 2021
- Competency: Communication; External Forces & Industry Knowledge; Leadership; Professional Values
- Topics: Actuarial Profession; Economics; Enterprise Risk Management; Finance & Investments; Health & Disability; Public Policy; Reinsurance; Social Insurance; Technology & Applications; FinTech & InsurTech
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2022-medpac-macpac-commissioner-conversation
more than half of American health care. Medicare and Medicaid are at the forefront of nearly every major ... change in U.S. health care payments, from DRGs in the 1980s to today’s value-based care. Listen to a conversation ...- Authors: Society of Actuaries
- Date: Dec 2022
- Topics: Health & Disability; Public Policy; Social Insurance