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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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CSRs and Market Stabilization: What’s the Real Story?
CSRs and Market Stabilization: What’s the Real Story? Argues that reinstatement ... government will have destabilizing effect on individual market. Individual health plans;Government-funded healthcare;Health ...- Authors: Dean Ratzlaff
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Commercial Health Care: What’s Next? A Health Section Strategic Initiative
ASSOCIATION HEALTH PLANS: HOW WILL THEY AFFECT THE INDIVIDUAL MARKET? By Sabrina Corlette, Josh Hammerquist ... in the Affordable Care Act (ACA)– compliant individual markets under an expan- sion of AHPs. A New ...- Authors: David Dillon
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Public Policy; Public Policy
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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 ...- 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
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Medicare Advantage Star Ratings: Expectations for New Organizations
Advantage Bid Rebate Federal Part C Revenue Table 1 2019 Quality Bonus Payment and Rebate Percentages ... star rating are shown in Table 1.4 The current distribution of individual MA contracts by 2018 star ...- Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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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 ...- 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
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What does ERM mean for Health Practitioners?
Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance By Andrew ... the personal level (such as the risk that an individual will be unable to retire when desired with a ...- Authors: Max Rudolph
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Relationship Management>Staff management and motivation; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Enterprise Risk Management; Modeling & Statistical Methods>Forecasting
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Generic Dispensing Rates: Silver Bullet No More?
trend picture even more favorable for generics. Table 1 contains a summary of recent drug trend reports ... in recent years. 12 | MAY 2010 | Health Watch Table 1 Pharmacy Trends Mitigated Through GDR Increases ...- Authors: Troy Filipek
- Date: May 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Economics>Health economics; Social Insurance>Medicare
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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 ...- 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
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Is That Your Final Answer? Face the Challenge of the Future
take to sustain future value. An effec- tive valuation will scrutinize manage- ment controls, pinpoint ... interests. Your ultimate benchmark of a final valuation needs to convey an impor- tant message: justify ...- Authors: Lindsay Resnick
- Date: Apr 2000
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance