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Navigate through Risk-Based Capital with Success
follow the process shown in Table 1 based on the TAC-to-ACL Ratio. Table 1 Process for Regulatory Consequences ... exceptions to the standard provisions described in this table. Health RBC is a standardized way to aggregate risk ...- Authors: Karena Weikel, Jinjun (Sophia) Yu
- Date: Dec 2021
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession; Finance & Investments
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Risk Adjustment: The Details and Why They Matter
created to calculate the risk scores, which predict individual beneficiaries’ health care expenditures relative ... of data from RAPS and EDPS in its calculations (Table 1). CMS has indicated the weighting will be as ...- Authors: Karena Weikel
- Date: Feb 2018
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks
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Session 059: ACA Risk Adjustment Data Validation – It Matters! Learning from Year 1 and Beyond
Negative Outliers Outliers with Both Signs Individual Market Small Group Market PMPM Impacts by ... * NJ Individual 8.62% $ 504.53 $ 43.49 NJ Small Group 8.00% $ 512.47 $ 41.00 CO Individual 2.63% $ ...- Authors: Karena Weikel, Chia Yi Chin, Matthew Sauter, Alexander Mark Vojta
- Date: Jul 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health insurance