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  • Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
    Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment” ACA risk adjustment ... intended to "bridge the gap" between allowed rates and actuarial rates. If risk adjustment methodology ...

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    • Authors: Greg Fann
    • Date: Jun 2022
    • Competency: Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data; Health & Disability>Health care
  • New SOA Research Study Evaluates Cost Impact of Drug Therapy for Crohn’s Disease
    Cost Impact of Drug Therapy for Crohn’s Disease This article discusses a study of the impact of the drug ... drug infliximab on Crohn's disease patients. This study had been approved in response to an SOA ...

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    • Authors: Steven Siegel
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Professional network leverage; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Academic partnerships; Experience Studies & Data; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care
  • The Application of Data Blending to Resolve Unrelated Dimensions: A Tableau Use-Case for Calculating Per Member Per Year
    The Application of Data Blending to Resolve Unrelated Dimensions: A Tableau Use-Case for Calculating ... tables through the ETL process. However, when calculating PMPY at specific levels of detail using these ...

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    • Date: May 2023
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data; Technology & Applications; Technology & Applications>Business intelligence; Technology & Applications>Computer science; Experience Studies & Data>Rate calculations; Experience Studies & Data>Table construction; Technology & Applications>Visualization
  • Soundbites from the American Academy of Actuaries’ Health Practice Council
    from the American Academy of Actuaries’ Health Practice Council Report on the activities of the Academy’s ... plans=CDHP;Individual health plans;Medicare supplement;Risk-based capital=RBC; 9505 5/1/2009 12:00:00 AM ...

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    • Authors: Heather E Jerbi, Melissa Lawler
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge; Leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Enterprise Risk Management>Risk measurement - ERM; Experience Studies & Data; Financial Reporting & Accounting; Health & Disability>Health care quality; Long-term Care; Public Policy
  • Critical Illness Turns 40!
    provides an overview of critical illness insurance: history, product description, and the three primary ways ... illness coverage in the United States. This article also contains an illustration of an issue age premium ...

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    • Authors: Jennifer Howard, Ashlee Borcan
    • Date: Sep 2023
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data; Experience Studies & Data>Morbidity; Health & Disability; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Experience Studies & Data>Rate calculations; Health & Disability>Incidence; Health & Disability>Rates - Health & Disability; Health & Disability>Termination - Health & Disability
  • Soundbites from the American Academy of Actuaries’ Health Practice Council
    from the American Academy of Actuaries’ Health Practice Council Updates on the efforts of the Academy’s ... to educate and influence health care policymakers on issues including principles for health care reform ...

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    • Authors: Heather E Jerbi, Tim M Mahony
    • Date: May 2010
    • Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Influence; Professional Values>Public interest representation
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Experience Studies & Data; Public Policy; Public Policy; Social Insurance>Medicare
  • In Search of That Most Elusive Companion to the HealthActuary ... Data
    In Search of That Most Elusive Companion to the HealthActuary ... Data sources of Health Care data Issue ...

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    • Authors: Richard A Kipp
    • Date: Apr 2000
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data
  • Chairperson's Corner
    Chairperson's Corner Update on Health Section research projects and topics, including new vision ... for the Health Section Council, research and communications projects, and information about the Health ...

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    • Authors: Judy L Strachan
    • Date: May 2011
    • Competency: Communication; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Experience Studies & Data; Public Policy; Technology & Applications>Analytics and informatics
  • Moneyball and the Actuarial Profession
    Moneyball and the Actuarial Profession Author compares in-depth statistical review of baseball ... and the Actuarial Profession Author compares in-depth statistical review of baseball team to the actuarial ...

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    • Authors: Kurt Wrobel
    • Date: Apr 2004
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data
  • Bariatric Surgery Holds Promise for Patients and for Payors
    Bariatric Surgery Holds Promise for Patients and for Payors An economic analysis of bariatric ... Payors An economic analysis of bariatric surgery and health care costs supports the case for health plans to ...

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    • Authors: John Dawson, Pierre-Yves Cremieux, Arindam Ghosh
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining