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  • Considerations for Surplus Determination under ACA
    Considerations for Surplus Determination under ACA Discussion of the impact of the ... ACA Discussion of the impact of the ACA on RBS and required surplus for a health plan Risk-based capital=RBC;Patient ...

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    • 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
  • Visions for the Future of the U.S. Health Care System - Health Reform, American Style
    Visions for the Future of the U.S. Health Care System - Health Reform, American Style Essay offers a ... a vision of health care where everyone is covered, everyone is eligible, receives fair pricing, receives ...

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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
  • Commercial Health Care: What’s Next?
    condensed summary and excerpt from the fourth white paper in the Commercial Health Care: What’s Next ... Next? series. health care reform;risk adjustment;health insurance;health policy;health risks 6442480945 ...

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    • 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
  • Visions for the Future of the U.S. Health Care System - Health Care Reform: What Problems Can We Realistically Solve?
    Visions for the Future of the U.S. Health Care System - Health Care Reform: What Problems Can We Realistically ...

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    • Authors: Application Administrator
    • Date: Jun 2009
    • Competency: Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
  • An Actuarial Model to Improve Health and Reduce Costs
    Patient Value model, the PCP receives an incentive payment of $2,000, bringing the total compensation ... compensation to $2,750. The model takes a long-term view recognizing that eliminating a chronic condi- tion will ...

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    • 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
  • ASOPs, Anti- Selection, Affordability and ACA Altern
    ACA Altern This article is focused on sustainability concerns in the ACA individual markets and what we ... Health economics;Health policy;Health risks;Standards of practice;Individual health plans 6442471992 11/1/2016 ...

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    • 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
  • Two Issues in the US Healthcare System
    Two Issues in the US Healthcare System Essay discussing that the two factors that affect healthcare ... healthcare cost are costs and the fact that people lack coverage. Funding policy;Government-funded healthcare;Health ...

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    • 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
  • Accountable Care Organizations: An Untapped Opportunity
    provider risk under various ACO models, limitations of the Medicare model for motivating change in the health ... strategic priorities, attribution of members, meaurement, and the roles actuaries can play. Accountable ...

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    • Authors: Jim Toole, Sara Teppema
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
  • Principles for U.S. Healthcare Reform
    Principles for U.S. Healthcare Reform This paper offers ... basic, economic and actuarial ideas to improve the balance of cost, access to treatment and quality over ...

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    • Authors: Richard Hauboldt, Mark E Litow, Allen J Schmitz
    • Date: Jun 2009
    • Competency: Leadership>Thought leadership
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare