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Applying Diagnosis-Based Predictive Models to Group Underwriting
Introduction T he development of grouppremium health rates is a jointeffort of pricing actuaries and underwriters ... actuaries set the broad rating approach and factors while underwriters examine the realities of a specific ...- Authors: Randall P Ellis, Marilyn Kramer
- Date: Aug 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Up Front with the SOA Staff Fellow
Up Front with the SOA Staff Fellow Joe Wurzburger, Staff Fellow at the SOA, shares his views and insights ... insights about the health care industry in general and the Health Section's role in particular. 7/3/2019 ...- Authors: Society of Actuaries
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Actuarial Profession; Health & Disability
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Biosimilars, Part 2: The Coming Wave
Part 2: The Coming Wave There is a big wave of changes coming to the pharmacy market. The extent is ... publication on the Axene Health Partners website. There is a big wave of changes coming to the pharmacy ...- Date: Sep 2023
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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Health Insurer Balance Sheets 10 Years After ACA
since the Patient Protection and Affordable Care Act (ACA) was signed into law in March 2010. The ACA fundamentally ... stakeholders. The impacts of these programs can be seen in specific accounting items on the balance sheets ...- Authors: Scott O'Neil Jones, Samuel Jay Shellabarger
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Affordable Care Act (ACA)
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Long-Term Services and Support Services in Medicare Advantage Plans: 2019 Market Landscape and Challenges Ahead
Long-Term Services and Support Services in Medicare Advantage Plans: 2019 Market Landscape ... April 2018, the Centers for Medicare & Medicaid Services (CMS) published a revised definition of primarily ...- Authors: Robert Eaton
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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Data Quality in Real Life
Data Quality in Real Life Discussion of the standards set by ASOP 23 on data quality within ... Quality in Real Life Discussion of the standards set by ASOP 23 on data quality within a health insurance ...- Authors: Karl Volkmar
- Date: Sep 2001
- Competency: Professional Values>Ethical standards; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Health & Disability
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A Practical Guide to Private Exchanges
A Practical Guide to Private Exchanges This article describes employer considerations when evaluating ... Private Exchanges and potential financial impacts of a multi-carrier, fully-insured model Group Health ...- Authors: David Timothy Petta, Karen Shelton
- Date: May 2015
- Publication Name: Health Watch
- Topics: Health & Disability
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Combining an Actuarial and an Underwriting Approach
T he essence of our profession is to reach a conclusion through an objective analysis of available data ... data. For much of my career I felt this was the only viable approach. After assuming respon- sibility ...- Authors: David L Reichlinger
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Leader Interview With Greger J. Vigen
Health Watch June 2020 Copyright © 2020 Society of Actuaries. All rights reserved. HEALTH WATCH | 17 ... Vigen high-level business projects with extensive on-the-job learning, but required massive hours. Computer ...- Authors: Greger J Vigen
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge; Leadership
- Publication Name: Health Watch
- Topics: Health & Disability
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Managing Health Insurance Company Risks in a Recession
Managing Health Insurance Company Risks in a Recession Summary of lessons learned from Health ... Insurance Company Risks in a Recession Summary of lessons learned from Health Insurer Chief Actuaries' ...- Authors: Keith Passwater, David Nelson
- Date: Oct 2019
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability