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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
  • 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
  • Health Care Funding Report
    highlights 36 countries’ health care systems (see table 1). Health care experts were identified, and every ... effort will continue as we learn from each other. Table 1 Featured Countries FUNDING CATEGORIES We see that ...

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    • Authors: Susan Lynn Mateja, Shereen Sayre
    • Date: Jan 2021
    • Competency: External Forces & Industry Knowledge
    • Publication Name: International News
    • Topics: Health & Disability>Health care; Health & Disability>Payment models; Social Insurance>Government-funded healthcare
  • 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
  • Health Watch, March 2017, Issue 82
    Interview With Kurt Wrobel 28 The Evolution of the Individual Market (Part I) By Greg Fann 36 Republican Health ... Committee Coordinators Ashlee Borcan, FSA, MAAA 2017 Valuation Actuary Symposium Coordinator Jennifer Gerstorff ...

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    • Authors: Society of Actuaries
    • Date: Mar 2017
    • 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
  • Health Watch, October 2018, Issue 87
    Meeting Coordinators Ashlee Borcan, FSA, MAAA 2018 Valuation Actuary Symposium Coordinator Karen Shelton, ... opinions expressed herein are those of the individual authors and are not neces- sarily those of the ...

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    • Authors: Society of Actuaries
    • Date: Oct 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
  • Health Watch, June 2018, Issue 86
    Meeting Coordinators Ashlee Borcan, FSA, MAAA 2018 Valuation Actuary Symposium Coordinator Karen Shelton, ... opinions expressed herein are those of the individual authors and are not neces- sarily those of the ...

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    • Authors: Society of Actuaries
    • Date: Jun 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>Payment models; Health & Disability>Public financing - Health & Disability
  • Improving Medicare Advantage Star Ratings: An Analytical Framework
    status. Within each category are a number of individual measures that CMS evaluates and assigns a score ... An Analytical Framework data collection year. Table 1 shows the various elements of the star-ratings ...

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    • Authors: Puneet Budhiraja, Rajesh Munjuluri
    • Date: Oct 2018
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Technology & Applications>Analytics and informatics
  • Health Care Reform: Essential Health Benefits and Actuarial Value
    land- scape of benefit plans offered in the individual and small group markets by prescribing the ... to exclude “transitional” non-grandfathered individual and small group policies, which are policies ...

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    • Authors: Catherine Knuth
    • 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
  • Provider Risk-Sharing and Random Noise
    assume the measurement year costs for a single individual sampled from the population follow a distribution ... While the distribution of costs for a single individual will be skewed, the costs over a provider panel ...

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    • Authors: Thomas Messer
    • Date: Jul 2019
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Provider networks; Health & Disability>Provider risk