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  • ACA Impact on Employers - The road ahead and the road behind
    ACA Impact on Employers - The road ahead and the road behind ACA Impact on Employers Patient Protection ...

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    • Authors: Sujaritha Tansen, Brian Stentz
    • Date: Aug 2015
    • 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
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Risk-Based Capital for Health Organizations
    Risk-Based Capital for Health Organizations Panelists report on the status of activities by national ... regard to risk-based capital requirements for health insurers. From the Record of the Society of Actuaries ...

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    • Authors: Julia T Philips, Donna C Novak, Steven Wander
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Health insurance; Health & Disability>Health risks
  • Trends in Large Health Claims
    and future expectations, as well as the impact of managed care on large individual health claims under ... programs and under an HMO setting. From the Record of the Society of Actuaries, Vol. 25, No. 2. Antiselection;Claims ...

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    • Authors: David E Olsho, Anthony Wittmann, Daniel Wolak, Larry Jackson
    • Date: Jun 1999
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks
  • Medicare Testimony - Actuary Addresses Congressional Subcommittee
    Summary of testimony by an AAA Board member before a congressional subcommittee, as an expert on risk assessment ... relation to Medicare risk contracting and HMO payments. She recommended: mitigating the geographical region ...

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    • Authors: Jacqueline Bitowt
    • Date: Apr 1997
    • Competency: Communication>Oral communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Influence; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health risks; Health & Disability>Payment models; Public Policy; Social Insurance>Medicare
  • A Regulatory Perspective on Rate Review Before and After the Affordable Care Act
    Perspective on Rate Review Before and After the Affordable Care Act A Regulatory Perspective on Rate Review ... Review Before and After the Affordable Care Act Patient Protection and Affordable Care Act= PPACA=Affordable ...

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    • Authors: Annette James
    • Date: Aug 2015
    • 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
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • The Role of the Affordable Care Act in Payment Reform
    The Role of the Affordable Care Act in Payment Reform Affordable Care Act and Payment Reform Patient ...

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    • Authors: Juliet Michelle Spector
    • Date: Aug 2015
    • 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
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Predicting High-Cost Members in the HCCI Database
    Predicting High-Cost Members in the HCCI Database Using the Health Care Cost Institute (HCCI) database ...

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    • Authors: Brian Hartman
    • Date: Sep 2018
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Topics: Health & Disability>Health risks
  • Medicare Advantage Hierarchical Condition Categories: Updated Study Results
    Medicare Advantage Hierarchical Condition Categories: Updated Study Results Summary ... analysis of the diseases and conditions exhibited in the Medicare Advantage population Medicare;Risk adjustment;Health ...

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    • Authors: Corey Berger, Eric P Goetsch
    • Date: Jan 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Social Insurance>Medicare
  • The Individual Market and ACA Products: Starting from First Actuarial Principals
    The Individual Market and ACA Products: Starting from First Actuarial Principals Individual Market and ...

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    • Authors: Kurt Wrobel
    • Date: Aug 2015
    • 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
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • The CLASS Act and its Aftermath
    The CLASS Act and its Aftermath CLASS Act and ACA Patient Protection and Affordable Care Act= PPACA=Affordable ...

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    • Authors: Robert Yee
    • Date: Aug 2015
    • 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
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability