Announcement: SOA releases April 2024 Exam FM passing candidate numbers.

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  • Health Valuation Issues: Traditional Products
    Health Valuation Issues: Traditional Products Panelists lead participants in a discussion of recent ... experiences and current issues regarding the valuation of medical and dental insurance and managed care ...

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    • Authors: Jin-Dih Shih, Martin Staehlin, Kenny W Kan
    • Date: Jun 2003
    • Competency: Communication; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Record of the Society of Actuaries
    • Topics: Actuarial Profession>Standards of practice; Health & Disability>Health insurance
  • Our Value-Based Cup Runneth Over
    parameters for value-based contracts, come to the table with an open mind and options.  As provider actuaries ... Bring an open mind and options to the negotiating table. Whether quality measurement, risk adjustment models ...

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    • Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
    • Date: Aug 2022
    • Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
  • Recent Developments in the Health Care Market
    include reasonable benchmarks which allow an individual to understand what items truly cost or reasonably ... the False Claims Act criteria of fraud. In the table below, we show how billing changes in billing patterns ...
    • Authors: Michael Frank
    • Date: Feb 2019
    • Competency: Communication; External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
    • Publication Name: Innovators & Entrepreneurs
    • Topics: General Insurance (Property & Casualty)>Claims - General Insurance; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Life Insurance>Claims - Life Insurance; Long-term Care>Public financing - Long-term Care; Health & Disability>Affordable Care Act (ACA)
  • Managing The Group Health Line: Technical Approaches To Analyzing, Monitoring And Projecting Group Health Experience
    Managing The Group Health Line: Technical Approaches To Analyzing, Monitoring And Projecting ... in the range of forecast results. The following table presents the same information broken down by rating ...

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    • Authors: Robert Dobson, Phyllis Doran
    • Date: Oct 1982
    • Competency: Communication; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Management partnership
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance