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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 - The Other Side of the Coin
    Visions for the Future of the U.S. Health Care System - The Other Side of the Coin An essay suggesting ...

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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
  • The Future Of U.S. Health Care: A Two-Tiered System
    The Future Of U.S. Health Care: A Two-Tiered System This essay highlights a view that many have for ... is one of a two-tiered system. The first tier in this system is a universal one controlled by the federal ...

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    • Authors: Brad Hayes Vernon
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Value Based Insurance Deign: Restoring Health to the Health Care Cost Debate
    Value Based Insurance Deign: Restoring Health to the Health Care Cost Debate Essay where payers desiring ... health gains per dollar spent should avoid “across the board” cost sharing, and instead implement a “value ...

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    • Authors: Michael Chernew, Mark Fendrick
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge; Leadership>Thought leadership
    • Topics: Enterprise Risk Management>Compliance; Health & Disability; Health & Disability>Disability insurance; Health & Disability>Health care; Health & Disability>Health insurance
  • 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
  • The Health Care Crisis in the United States: My Vision for a Better Future
    The Health Care Crisis in the United States: My Vision for a Better Future While there are many issues ... healthcare, the single most significant issue is cost, both in terms of the cost today and in terms of the growth ...

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    • Authors: William Lane
    • Date: Jun 2009
    • Competency: Leadership>Influence; Leadership>Thought leadership; Professional Values>Public interest representation
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • Practical Reform For The U.S. Health Insurance System
    Reform For The U.S. Health Insurance System This paper discusses the the continuing cost of health insurance ... problem for most of us. However, the long-term continuation of the excess growth rate of the health care ...

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    • Authors: John Cookson
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge; Leadership>Thought leadership; Strategic Insight and Integration>Influence decisions
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Health Reform - A Proposal
    participants have a vested interest in reaching the best answer. Cancer;Diabetes;Employee contributions;Employer ... insurance;Medicaid;Medical expenses;Medicare;Premiums;Risk adjustment;Social Security;Underwriting;Value-based ...

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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
  • 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