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Medical Loss Ratio: An Entrepreneurial Approach to Health Care Reform
Health Care Reform This is a discussion of the medical loss ratio, the confusion and debate over the calculation ... calculation method under the new MLR requirement, and the opportunities it presents to consulting actuaries ...- Authors: Mark Florian
- Date: Aug 2011
- Competency: Strategic Insight and Integration
- Publication Name: The Independent Consultant
- Topics: Health & Disability>Health insurance; Public Policy
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Accountable Care Organizations: An Untapped Opportunity
Accountable Care Organizations: An Untapped Opportunity Since health care reform has made accountable ... accountable care organizations a hot topic, an SOA workgroup is addressing relevant questions, including provider ...- Authors: Jim Toole, Sara Teppema
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
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The Real Costs of Behavioral Health-Care Benefits
The Real Costs of Behavioral Health-Care Benefits This session summarizes recent trends in behavioral ... pros and cons of parity, the impact of mandated benefits on near-term medical costs and methods to effectively ...- Authors: Stephen P Melek, Paul J Floyd, Marc Lambright, Ted Wirecki
- Date: May 2004
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Medicaid Expansion Under ACA As Modified By The U.S. Supreme Court
Expansion Under ACA As Modified By The U.S. Supreme Court A discussion of the impact of the June, 2012 ... and the financial impications for states. Medicaid; Patient Protection and Affordable Care Act= PPACA=Affordable ...- Authors: Timothy Harris
- Date: Jan 2013
- Competency: Professional Values>Public interest representation
- Publication Name: In The Public Interest
- Topics: Health & Disability>Public financing - Health & Disability; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
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Letter from the Editor
Letter from the Editor Recap of content contained in the January 2014 issue of the Health Watch newsletter ... Health insurance;Health care costs;Medicaid;Patient Protection and Affordable Care Act 6442452732 1/1/2014 ...- Authors: Kurt Wrobel
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Public Policy
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Further Analysis of Future Canadian Health Care Costs
Further Analysis of Future Canadian Health Care Costs The Canadian public health care delivery system ... needs for increased funding. The total health care delivery system today costs Canadians $98 billion a year ...- Authors: Robert Brown, UMA SURESH
- Date: Jan 2004
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care
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Trends in Large Health Claims
recent experience, and future expectations, as well as the impact of managed care on large individual health ... claims under self-insured programs and under an HMO setting. From the Record of the Society of Actuaries ...- Authors: David E Olsho, Anthony Wittmann, Daniel Wolak, Larry Jackson
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks
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Considerations for Surplus Determination under ACA
Considerations for Surplus Determination under ACA Discussion of the impact of the ACA on RBS and required surplus ... capital=RBC;Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform 6442454842 5/1/2014 ...- Authors: Daniel Pribe, Richard Tash, David M Tuomala
- Date: May 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Assessing Health Care Costs in the Elderly
Assessing Health Care Costs in the Elderly Accurate forecasts of future health care expenditures for ... for cohorts of elderly individuals can be especially difficult. Current techniques use average per capita ...- Authors: H Tolley, Kenneth G Manton
- Date: Oct 1984
- Competency: External Forces & Industry Knowledge
- Publication Name: Transactions of the SOA
- Topics: Economics>Health economics
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The Costs of Mental HealthParity
The Costs of Mental HealthParity This article examines the costs of mental health parity, presents the ... the primary drivers of cost increases from legislation and shows evidence the initial cost projections ...- Authors: Stephen P Melek
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care