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The Evolution of the Individual Market (Part II)
Evolution of the Individual Market (Part II) Part II of a two-part series discussing individual market evolution ... the ACA through President Trump's first term. Individual health plans, Government-funded healthcare, Affordable ...- Authors: Gregory Fann
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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A Simple Proposal to Save the Individual ACA Market
A Simple Proposal to Save the Individual ACA Market We propose using premiums and tax revenue to fund ... fund high-cost individuals in the Individual ACA market. Patient Protection and Affordable Care Act= PPACA=Affordable ...- Authors: Joseph Slater, John Culkin
- Date: Feb 2018
- Competency: Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Public Policy
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ASOPs, Anti- Selection, Affordability and ACA Altern
focused on sustainability concerns in the ACA individual markets and what we can learn from core actuarial ... economics;Health policy;Health risks;Standards of practice;Individual health plans 6442471992 11/1/2016 12:00:00 ...- Authors: Gregory Fann
- Date: Nov 2016
- Competency: Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
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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 ...- 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
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Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
better, and the organizations are more capable. The table below summarizes the transitions needed to help ... reimbursement methodologies. We also know that individual consumers are gaining influence, and they have ...- Authors: Mark Bethke, James M Whisler, Amanda Holland
- Date: May 2013
- Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy
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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 ...- 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
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Commercial Healthcare: What's Next
Commercial Healthcare: What's Next A new initiative, Commercial Health Care: What’s Next, ... the small employer market • The impact of the individual mandate • Modified benefit structures/changing ...- Authors: David Dillon, Elaine Corrough
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy
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North of the Border with the S.O.eh?
North of the Border with the S.O.eh? A review of the 2009 Health Spring Meeting, which included ... paid years into the future. Consequently, the valuation of these benefits is quite tricky, and projections ...- Authors: Douglas Norris
- Date: Sep 2009
- Competency: Communication>Difficult message delivery; External Forces & Industry Knowledge; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Economics>Health economics; Public Policy
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Early Findings from the ACA's Medicaid Expansion
based on the initial enrollment date (e.g., an individual who enrolled between January and June 2014 was ... analysis provides additional clarity by following individual health plan enrollees over time. Major findings ...- Authors: Richard Marko, Sabrina Gibson, Joshua Kuai, Mitchell Cole
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicaid