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  • June 2019 issue of Health Watch
    Meeting Coordinators Ashlee Borcan, FSA, MAAA 2019 Valuation Actuary Symposium Coordinator Geof Hileman, FSA ... 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: Jul 2019
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Health Watch, October 2020
    On LinkedIn you can not only connect with an individual, but you can also join the SOA Health Section ... PATTERNS The Affordable Care Act (ACA) reset the individual market in 2014 with new rating rules and an ...

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    • Authors: Society of Actuaries
    • Date: Oct 2020
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • December 2019 issue of Health Watch
    enrollment required for a contract to receive an individual measure Star Rating depends on the specific ... between 500 and 1,000 members will receive enough individual measure Star Ratings to earn an overall Star ...

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    • Authors: Society of Actuaries
    • Date: Jan 2020
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Health Watch, August 2020, Issue 99
    model.”10 It can be used to quantify drivers of individual predictions from complex models, including random ... drivers of individual predictions are also additive and can be aggregated across individual predictions ...

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    • Authors: Society of Actuaries
    • Date: Aug 2020
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • October issue of Health Watch
    a subcontractor as: Subcontractor means an individual or entity that has a contract with a MCO, PIHP ... what the managed care plan pays the PBM for individual drugs and what the pharmacies receive as payment ...

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    • Authors: Society of Actuaries
    • Date: Nov 2019
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • February issue of Health Watch
    The State of Key ACA Markets: Medicaid and the Individual Markets. This paper includes research on measurable ... MO Health Meeting June 8–10 | Chicago, IL Valuation Actuary Symposium Aug. 31–Sept. 1 | New Orleans ...

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    • Authors: Society of Actuaries
    • Date: Feb 2020
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • April 2020 issue of Health Watch
    blockchain that make it useful are shown in the table in Figure 3. Figure 3 Uses of Blockchain Property ... trended to a future rating period as shown in Table 1. Table 1 Trended Two-year Claim Experience for Group ...

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    • Authors: Society of Actuaries
    • Date: Apr 2020
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • The Lionfish in ACA Markets
    explore the subsidy and price dynamics in the ACA individual markets. ACA MARKET CHALLENGES Enrollment in ... current plan option. What about the majority of individual market enrollees, the lower income subsidized ...

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    • Authors: Gregory Fann
    • Date: Mar 2020
    • Competency: Strategic Insight and Integration
    • Publication Name: In The Public Interest
    • Topics: Health & Disability
  • Health Watch, June 2020, Issue 98
    insurance, not all lines of business are the individual and small group marketplace products traditionally ... benefits, comprise a major portion of risk revenue. Individual health insurance represents about 20 percent ...

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    • Authors: Society of Actuaries
    • Date: Jun 2020
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability
  • Changing With the Times: The Past and the Future of ACA Risk Adjustment
    remained relatively stable,5 particularly in the individual market. • Other than compression over time in ... receipt to a 5 percent charge, for instance, in the individual market). Moreover, transfers represent a large ...

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    • Authors: Jason Karcher , Cameron Kevin Gleed, Jason James Petroske
    • Date: Jun 2020
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Affordable Care Act (ACA)