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  • Fifty States, Fifty Stories: A Decade of Health Care Reform Under the ACA
    key observations since the passage of the ACA. Table of Contents Summary Materials Data Visualizations ... The SOA analyzed publicly available data on the individual state marketplaces from 2013 to 2020, including ...

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    • Authors: Society of Actuaries
    • Date: Mar 2020
    • Topics: Health & Disability; Health & Disability>Affordable Care Act (ACA)
  • Fifty States, Fifty Stories: A Decade of Healthcare Reform Under the ACA
    assessment and commentary on the viability of the individual and Medicaid marketplaces under the ACA since ... the perspectives of various stakeholders. ACA, individual market, Medicaid 6/18/2020 12:00:00 AM ...

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    • Authors: Lindsy Marie Kotecki, Johann Leida, Paul R Houchens
    • Date: Jun 2020
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Affordable Care Act (ACA)
  • 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)
  • Society of Actuaries Report Reveals Commercial Health Care Cost and Utilization Trends During ACA Implementation
    years of the Affordable Care Act (ACA) and covers individual, small group, large group and self-insured major ... changes in both population and plan design in the individual market, coinciding with the launch of the ACA ...

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    • Date: Jul 2019
    • Competency: Communication; Results-Oriented Solutions
    • Topics: Health & Disability>Health care; Health & Disability>Affordable Care Act (ACA)
  • Fifty States, Fifty Stories: A Decade of Health Care Reform Under the Affordable Care Act - Technical Report
    and research to understand the history of the individual and Medicaid markets since the inception of ... State policy decisions as they relate to the individual and Medicaid markets. • Population metrics ...

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    • Authors: Paul R Houchens, Lindsy Marie Kotecki, Johann Leida
    • Date: Mar 2020
    • Topics: Health & Disability; Health & Disability>Affordable Care Act (ACA)
  • A Summary of the Updated Medical Loss Ratio Methodology and Historical Results
    sold or administered. On the commercial side, Individual and Small Group policies have a minimum Medical ... to the membership-based credibility factor. The table below shows the current enrollment and deductible ...

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    • Authors: Society of Actuaries
    • Date: Dec 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA)
  • Fifty States, Fifty Stories: A Decade of Health Care Reform Under the Affordable Care Act
    PRICE IS A KEY CONSIDERATION (CONSUMERS IN THE INDIVIDUAL MARKET HAVE SHOWN TO BE VERY PRICE SENSITIVE ... #4: INSURER COMPETITION IN THE EXCHANGES AND INDIVIDUAL MARKET PROFITABILITY WERE CONSISTENT WITH THE ...

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    • Authors: Paul R Houchens, Lindsy Marie Kotecki, Johann Leida
    • Date: Mar 2020
    • Topics: Health & Disability; Health & Disability>Affordable Care Act (ACA)
  • COVID-19, Unknown Unknowns, and Public Finance on the Fly
    obligation in good times and bad times. While individual risks are not predictable, the business of insurance ... also overly simplistic and does not consider an individual insurer’s risk profile. Insurance company insolvencies ...

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    • Authors: Gregory Fann
    • Date: May 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health care; Health & Disability>Health risks; Social Insurance; Health & Disability>Affordable Care Act (ACA)
  • The ACA@10
    and they bring a practical perspective to the table. Authors and topics of these articles include: ... Medicaid expansion. • The tax penalty for the individual mandate was repealed effective 2019.4 OUR ANALYSIS ...

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    • Authors: Joan Barrett, Kurt Wrobel
    • Date: May 2020
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability>Affordable Care Act (ACA)
  • It Didn't Cost a Pennie
    the prescriptive factor change that provides individual market enrollees with tangible financial benefits ... and opinions expressed herein are those of the individual authors and are not necessarily those of the ...

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    • Authors: Gregory Fann
    • Date: Jan 2021
    • Competency: External Forces & Industry Knowledge
    • Publication Name: In The Public Interest
    • Topics: Public Policy; Health & Disability>Affordable Care Act (ACA)