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Valuation and Pricing Challenges Under The ACA
Valuation and Pricing Challenges Under The ACA This article points out actuarial issues surrounding ... in the ACA that impact financial reporting. Valuation actuary;Social Insurance;Affordable Care Act ...- Authors: Daniel Pribe
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge
- Publication Name: In The Public Interest
- Topics: Public Policy
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Considerations for Surplus Determination under ACA
There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... health insurance marketplace, including: • The individual and employer mandates • The federal premium and ...- 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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Target Surplus and Reserves for Health Plans
us are cash-flow testing (CFT), gross premium valuation (GPV) and dynamic solvency testing (DST). ... group, hitting its appropriate claims distribution table. The process for performing GPV is essentially ...- Authors: John Lloyd, John M Stenson, Daniel Pribe
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Surplus and the ACA
surplus is unique to each organization and its individual circumstanc- es and business characteristics ... surplus is complex, varies by the risks each individual issuer faces, and is also somewhat subjective ...- Authors: Daniel Pribe
- 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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Managing Population Health
Managing Population Health This article defines population health and discusses what is needed ... service world, physicians traditionally think about individual patients who are actively seeking or needing ...- Authors: Daniel Pribe
- Date: May 2016
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care