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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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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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Visions for the Future of the U.S. Health Care System - Health Reform, American Style
pool if the principles of social solidarity and individual equity are to be in balance. Details of how ... only requires underwriting by both group and individual insurers, but also the resulting inherent discontinuities ...- Authors: Hobson Carroll
- Date: Jun 2009
- Competency: Communication>Persuasive communication; Communication>Written communication; Leadership>Influence; Leadership>Thought leadership
- Topics: Health & Disability>Health care; Long-term Care>Medical expenses; Public Policy; Reinsurance; Reinsurance>Coinsurance; Reinsurance>Pricing - Reinsurance; Social Insurance>Medicaid; Social Insurance>Medicare
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A Comparative Analysis of Chronic and Non-Chronic Insured Commercial Member Cost Trends
of our analysis of the Thorpe, et al., data in Table 1 as these results deserve to be better known by ... summarized in a traditional actuarial trend form (Table 1). We have extracted only the cost and prevalence ...- Authors: Ian G Duncan, Robert Bachler, Iver Juster
- Date: Jun 2005
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership
- Topics: Enterprise Risk Management>Compliance; Experience Studies & Data>Disability; Experience Studies & Data>Morbidity; Health & Disability>Health care; Health & Disability>Health risks
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U.S. Health Care System Proposal: Private And Public Choice
administrative efficiencies over persons buying individual insurance in the Current Option. There is a ... Insurance Coverage in the United States: 2007; table 6) 6 Under this proposal household income would ...- Authors: Application Administrator
- Date: Jun 2009
- Competency: Leadership>Thought leadership
- Topics: Demography>Longevity; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Social Insurance>Medicaid; 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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State of Utah Childrens Health Insurance Program CHIP Five-Year Pharmacy Analysis
therapeutic chapters are categorized in Table 1. Table 1. Therapeutic Chapters Anti-Infectives ... (HHS) annual poverty levels are presented in Table 2. Table 2. Federal Poverty Levels, 20032 Family ...- Authors: Dennis Kunimura
- Date: May 2004
- Competency: Leadership>Thought leadership; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Health & Disability>Health care; Public Policy
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To Be Continued - Actuarial Aspects Of HMO's
exact primary insurance amounts in the benefit table. 1. Integrated Bu,dgeting Approach: are then allocated ... total operating costs lation on a unit basis. The table below of the HMO organization providing shows, ...- Authors: John G Turner
- Date: Jan 1973
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Alternative careers; Health & Disability>Health care
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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- ...- 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
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Visions for the Future of the U.S. Health Care System - “Can We Capture Potential Health Care Savings Without a Federal Takeover?”
reduced cost flows directly back to the entity or individual without being captured for broader public policy ... the covered employees, the labor union, the individual? The plan sponsor very much considers these ...- Authors: Application Administrator
- Date: Jun 2009
- Competency: Communication>Persuasive communication; Communication>Written communication; Leadership>Influence; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Topics: Health & Disability>Health care; Social Insurance