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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This ... Prescription Drug Plan (PDP) market to the commercial individual market exchanges included in the Affordable Care ...- Authors: Shelly Brandel
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
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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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An Overview of Health Issues and Recent Developments for the Non-Health Actuary
historical increases in inflation mea- sures (Table 1). The Medical care component of the CPI, (MCPI) ... no evidence here of any revolution going on. TABLE 1 HISTORICAL INCREASES IN INFLATION MEASURES Year ...- Authors: Phyllis Doran, Roland E King, Charles Larimer, Joseph W Moran, John K Ninomiya
- Date: Apr 1986
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health care; Long-term Care>Long-term care insurance; Public Policy; Social Insurance>Medicare
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Health Insurance - Legislation and Inflation
unem- ployment is always a serious matter for the individual, and since some unes- ployment is always with ... closed-panel type. A good illustration of the individual practice type is the program de- veloped by the ...- Authors: Richard H Hoffman, William C Hsiao, Robert J Myers, William Thomas
- Date: Apr 1975
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Public Policy
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Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
wanted this thing to go, get everybody around the table to agree on that, and then get everybody to play ... business, some small group business, and some individual health business. It has a broad breadth of products ...- Authors: Donna Kalin, Deborah Loveland, William E Mabe
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
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How to Make Health Care More Affordable
consulting firm that specializes in HMOs, PPOs, individual practice associations (IPAs) and other maneged- ... percentage of those increasesas they're felt by the individual. That's whet we have to do. If premiums are increasingat ...- Authors: Charles Larimer, Eric L Smithback, Greg Scandlen, Andrea King
- Date: Oct 1992
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Public Policy
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Managing Mental Health Cost
and there is major concern about this area. The table below shows what happened to inpatient benefits ... do it. But what about the small employer? An individual small employer will not be able to solve this ...- Authors: John Fritz, Lynette Trygstad, Eugene D Hill, Sandra M Hittman
- Date: Apr 1990
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Prioritization of Health Services
poverty level. Providers, including hospitals, individual physicians, clinics, and so on, will be reim- ... good values. On the basis of importance to the individual, importance to the populations served and the ...- Authors: Paul R Fleischacker, Harvey Klevit
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid
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Managing Population Health
Managing Population Health This article defines population health and discusses what is needed ... service world, physicians traditionally think about individual patients who are actively seeking or needing ...- Authors: Daniel Pribe
- Date: May 2016
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Two Issues in the US Healthcare System
Two Issues in the US Healthcare System Essay discussing that the two factors that affect healthcare ... implies private rooms, caviar for lunch, and individual bedside telephones and perhaps TV sets. Where ...- Authors: Brian Arthur Jones
- Date: Jun 2009
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Strategy development
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Public financing - Health & Disability; Public Policy