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  • Valuation of Care Management Vendors
    Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external ...

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    • Authors: Rick S Pawelski
    • Date: May 2020
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
  • Health Insurance and the Valuation Actuary
    Health Insurance and the Valuation Actuary Panelists discuss the role of the valuation actuary in health insurance ... Society of Actuaries, Vol. 24, No. 2. Asset valuation;Cash flow testing;Disability insurance;Group health ...

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    • Authors: Application Administrator, Michael Francescone, Frank E Knorr, Glenn A Giese
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Disability insurance; Health & Disability>Health care; Health & Disability>Health insurance; Long-term Care>Long-term care insurance
  • The Individual Market and ACA Products: Starting from First Actuarial Principals
    The Individual Market and ACA Products: Starting from First Actuarial Principals Individual Market and ...

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    • Authors: Kurt Wrobel
    • 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
  • Medicare Advantage: Seven Considerations to Achieve August Resubmission Success
    Medicare Advantage: Seven Considerations to Achieve August Resubmission Success Strategies ... reallocation;resubmission;Medicare;health insurance;individual health plans 6442479096 10/1/2017 12:00:00 ...

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    • Authors: Susan Silseth, Matthew Timm, Kelly Backes, Hillary Millican
    • Date: Oct 2017
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
    Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This ... Prescription Drug Plan (PDP) market to the commercial individual market exchanges included in the Affordable Care ...

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    • Authors: Shelly Brandel
    • Date: Jan 2013
    • Competency: Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
  • Cost of the Future Newly Insured under the Affordable Care Act (ACA) – Excel Model
    and/or cost for newly insured individuals in the individual market (and to some degree, the small group exchange) ... population. This analysis will primarily focus on the individual, non-group market. In order to plan for the impact ...

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    • Authors: Society of Actuaries, John K Ahrens, Randy Haught
    • Date: Mar 2013
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy
  • The Crisis in Healthcare Cost in the United States–An Actuary's Perspective
    to employees and their dependents. That same individual might go on to extol a life–saving operation ... the cost that the privately or publicly insured individual pays in premium and various types of cost–sharing ...

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    • Authors: Application Administrator
    • Date: Dec 2006
    • Competency: External Forces & Industry Knowledge
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Calibrating Risk Score Model with Partial Credibility
    regression model was the normalized cost of each individual. The outcomes for very high cost individuals ... regression model. For example, one very high-cost individual flagged for a certain condition could singlehandedly ...
    • Authors: Sheamus Parkes, Brad Armstrong
    • Date: Oct 2015
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Expanding Horizons
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Bayesian methods; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods; Predictive Analytics
  • Soundbites from the American Academy of Actuaries' Health Practice Council
    analysis of the court’s decision to uphold the individual mandate, a core but controversial provision ... Care In June, the Academy hosted its second round- table—National Conversation on Long-Term Care Financing ...

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    • Authors: Heather E Jerbi
    • Date: Jan 2013
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Health Watch, February 2018, Issue 85
    Dean Ratzla 22 A Simple Proposal to Save the Individual ACA Market By Joe Slater and John J. Culkin ... Meeting Coordinators Ashlee Borcan, FSA, MAAA 2018 Valuation Actuary Symposium Coordinator Karen Shelton, ...

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    • Authors: Society of Actuaries
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • 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