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  • Managing the Pharmacy Benefit Impacts to Pharmacy Trend
    category. A table of HPHC's benefit offerings and the corresponding benefit category are shown in Table A. ... HPHC switched PBMs and moved from a two-tier Table 1 - CY 2000 Pharmacy Trends Gross Cost/Script ...

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    • Authors: Bela Gorman, Jennifer Smagula, Laurie Doran
    • Date: May 2004
    • Competency: Communication>Written communication; External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Health & Disability>Health care
  • 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 ...

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    • 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
  • Health Insurance Continuity
    age 65 financing health care through employer, individual, Medicaid/SCHIP, other public health insurance ... three primary types of insurance (Employer, Individual and Medicaid/ SCHIP), and becoming uninsured ...

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    • Authors: Application Administrator
    • Date: Jun 2009
    • Competency: Communication>Written communication; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicaid
  • Health Watch, Issue 79, December 2015, Health Watch
    and opinions expressed herein are those of the individual authors and are not necessarily those of the ... are more similar to the individual and worksite products. Worksite and individual products often use simplified ...

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    • Authors: Society of Actuaries
    • Date: Dec 2015
    • Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Professional Values>Ethical standards; Relationship Management>Team leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; 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: Experience Studies & Data>Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science
  • 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 ...

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    • 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
  • Health Reform - A Proposal
    as paying insurance deductibles, purchasing individual insurance, or paying the retiree’s share of ... recurrence occur. The insurance protects the individual when they need high cost health care services ...

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    • Authors: Timothy Luedtke
    • Date: Jun 2009
    • Competency: Communication>Persuasive communication; Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
    • Topics: Enterprise Risk Management>Compliance; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Life Insurance; Life Insurance>Underwriting - Life Insurance; Life Insurance>Whole life; Long-term Care>Medical expenses; Pensions & Retirement>Funding; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Social Security; Health & Disability>Electronic medical record
  • Letter From the Editor
    cost- sharing reduction (CSR) payments in the individual market. This pronouncement resonates with actuar- ... funding for high- cost individuals, allowing individual health markets to be priced more attractively ...

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    • Authors: Gregory Fann
    • Date: Feb 2018
    • Competency: Communication>Written communication; Leadership>Thought leadership; Professional Values>Ethical standards
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Letter From the Editor
    takes a break from specific content focused on individual and small group markets and offers five featured ... takes a break from specific content focused on individual and small group markets and off ers five featured ...

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    • Authors: Gregory Fann
    • Date: Oct 2017
    • Competency: Communication>Written communication
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Visions for the Future of the U.S. Health Care System - The Other Side of the Coin
    limitations on necessary expenditures at the individual and/or family level. People shouldn’t have to ... • A connection between the total amount an individual or family pays for its necessary health care ...

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    • 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; Health & Disability>Health insurance; Health & Disability>Health risks; Reinsurance>Stop-loss insurance