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  • Navigating Cost-Sharing Reduction Subsidy Defunding
    Navigating Cost-Sharing Reduction Subsidy Defunding This paper will examine why CSR defunding produces ... Protection and Affordable Care Act, Rate regulation, Individual health plans 3/14/2019 12:00:00 AM ...

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    • Authors: Michael Cohen, Peter van Laarhoven
    • Date: Mar 2019
    • Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy
  • Health Watch, November 2016, Issue 81
    and opinions expressed herein are those of the individual authors and are not necessarily those of the ... statements were being completed. Although the valuation actuaries are still addressing the 2015 financial ...

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    • Authors: Society of Actuaries
    • Date: Nov 2016
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Public Policy; Public Policy
  • Premiums in Regional Health Alliances Under the Clinton Administration's Proposed Health Security Act
    premium estimates are presented side by side in Table I on the next page. Annual and monthly premiums ... divided by 12. The chart on the page following Table 1 graphically shows our estimates of the monthly ...

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    • Authors: P Anthony Hammond
    • Date: Jan 1995
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations
    • Publication Name: Actuarial Research Clearing House
    • Topics: Economics>Health economics; Public Policy; Public Policy
  • The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
    payment percentages by star rat- ing are shown in the table in Figure 1. The percentage of the savings a plan ... rebate percentages by star rating are shown in the table in Figure 2. Special rules apply to low-enrollment ...

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    • Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
    • Date: May 2012
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
  • Health Insurance - Legislation and Inflation
    unem- ployment is always a serious matter for the individual, and since some unes- ployment is always with ... closed-panel type. A good illustration of the individual practice type is the program de- veloped by the ...

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    • Authors: Richard H Hoffman, William C Hsiao, Robert J Myers, William Thomas
    • Date: Apr 1975
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Public Policy
  • The Impact of Family Structure on Spare Capacity and Health Care Utilization
    the difference between total capacity of an individual and the capacity currently supplied to high ... conclusion, see Figure 4 at the end of Appendix I for a table by age and gender. • Married people are more ...

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    • Authors: Philip Castevens
    • Date: Jan 2014
    • Competency: Results-Oriented Solutions>Actionable recommendations
    • Publication Name: Health Watch
    • Topics: Public Policy; Public Policy
  • An Actuarial Model to Improve Health and Reduce Costs
    health care costs and an ever-increasing share of individual, corporate and government budgets.1 While everyone ... Health Care Data, 2009–2010 Combined Year Tables—Table 1. Annual Number and Percent Distribution of Ambula- ...

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    • Authors: Ken Beckman
    • Date: Oct 2017
    • Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
  • Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea?
    provider enti- ty to disburse payments to the individual providers. Determining the amount of these payments ... possible without large administrative changes. For individual physicians and hospitals not part of any integrated ...

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    • Authors: Todd Lueders
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Public Policy
  • Recommendations for a Successful ACA Rate Filing
    underestimated the average morbidity of their individual and/or small group ACA risk pools. While federal ... little information from insurers submitting individual and small group rate filings. However, the ACA ...

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    • Authors: Joseph Slater
    • Date: Nov 2016
    • Competency: Communication>Difficult message delivery; Communication>Oral communication; Communication>Persuasive communication; Communication>Written communication; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Health & Disability>Health insurance; Public Policy
  • Prioritization of Health Services
    poverty level. Providers, including hospitals, individual physicians, clinics, and so on, will be reim- ... good values. On the basis of importance to the individual, importance to the populations served and the ...

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    • Authors: Paul R Fleischacker, Harvey Klevit
    • Date: Apr 1992
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid