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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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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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Proposals for Health-Care Reform
insurance companies out of that business. Individual customers, individual consumers and patients would be paying ... five people who are smart enough to sit around a table in Washington and say, "In 1993, this country is ...- Authors: Gregory N Herrle, Greg Scandlen, Liz Conway
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health insurance; 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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Marketing and Pricing Considerations of Group Insurance in the 1980's
inquiry is heard about the possibility of allowing individual employees to choose those benefits which suit ... dependent life or mass marketing, to some extent, of individual life with lower commissions. This is happening ...- Authors: Robert C Benedict, Richard S Bilisoly, Claude Lamoureux, Bernard J Villa
- Date: May 1981
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Life Insurance>Group plans - Life Insurance; Public Policy