Announcement: SOA congratulates the new ASAs and CERAs for May 2024.

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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 ...

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    • 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
  • Soundbites from the American Academy of Actuaries’ Health Practice Council
    Soundbites from the American Academy of Actuaries’ Health Practice Council Updates on the efforts ... issues including principles for market reform, individual insurance, and risk factors. American Academy ...

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    • Authors: Heather E Jerbi, Melissa Stevens
    • Date: Feb 2010
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Public Policy; Public Policy
  • Soundbites from the American Academy of Actuaries' Health Practice Council Activities
    tim Mahony What’s New A s challenges to the individual mandate in the Affordable Care Act (ACA) move ... include the various risk-sharing mechanisms, the individual mandate, the 2014 market reforms and the implementation ...

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    • Authors: Heather E Jerbi, Tim M Mahony
    • Date: May 2011
    • Competency: Communication>Written communication; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Health & Disability; Public Policy
  • Considerations for Surplus Determination under ACA
    There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... health insurance marketplace, including: • The individual and employer mandates • The federal premium and ...

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    • Authors: Daniel Pribe, Richard Tash, David M Tuomala
    • Date: May 2014
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
  • Commercial Health Care: What’s Next?
    Hilson, FSA, MAAA, and Michael Cohen, Ph.D. When individual market instability under the Affordable Care ... wider network plans. It is often asked if the individual market is sustainable long- term and if these ...

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    • Authors: David Dillon
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
  • Health Enables Wealth
    provides an important framework to empower the individual during treatment and independently. An important ... marketing and social media efforts. From there, the individual engages with trained peer specialists, interactive ...

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    • Authors: Rich Gengler, Irving Steel, Stevan Hobfoll
    • Date: May 2016
    • Competency: Leadership>Thought leadership; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health information technology; Health & Disability>Health insurance; 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
  • Leader Interview
    wisdom of a team exceeds the wisdom of any single individual. Finally, we too often seek to be understood ... ushered in an entirely new marketplace in both the individual and small group markets. Prior claim experience ...

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    • Authors: Paul E Stordahl
    • Date: Jun 2018
    • Competency: Leadership>Mentoring; Leadership>Thought leadership; Professional Values>Practice expertise; Relationship Management>Relationships and trust
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Assessing Prescription Opioid Risk with Predictive Analytics
    is critical, not only for the health of the individual and their family, but also because of the increased ... approach combines the prediction from hundreds of individual decision trees to come to a final consolidated ...

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    • Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
  • Accountable Care Organizations: An Untapped Opportunity
    third-party, objective analysis when they are at the table bargain- 8 | september 2010 | Health Watch area ... health care costs if actuaries had been at the table with providers earlier in the process. ACO leadership ...

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    • Authors: Jim Toole, Sara Teppema
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy