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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 ...- 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
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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 ...- 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
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Providing Prescription Drug Coverage for Medicare Beneficiaries
Providing Prescription Drug Coverage for Medicare Beneficiaries A summary of Medicare ... Medicare Beneficiaries A summary of Medicare reform and its effect on prescription drug coverage. Government-funded ...- Authors: American Academy of Actuaries
- Date: Jul 2000
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance
- Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Social Insurance>Medicare
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The Opportunities During Transformation: Moving To Health Care 2.0
The Opportunities During Transformation: Moving To Health Care 2.0 Essay reforming management in health ... health care, structure of reimbursement, program management, health information, measurement systems, etc ...- Authors: Greger J Vigen
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance
- Topics: Enterprise Risk Management>Compliance; Health & Disability>Health care; Health & Disability>Health information technology; Public Policy; Social Insurance>Medicare; Health & Disability>Electronic medical record
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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 ...- 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
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Commercial Healthcare: What's Next
Commercial Healthcare: What's Next A new initiative, Commercial Health Care: What’s ... will focus on education and research for health actuaries regarding issues that remain with the ACA. health ...- Authors: David Dillon, Elaine Corrough
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy
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Commercial Health Care: What’s Next? A Health Section Strategic Initiative
What’s Next? A Health Section Strategic Initiative The Health Section's strategic initiative entitled ... entitled Commercial Health Care: What’s Next? focuses on health care reform. This article contains a summary ...- Authors: David Dillon
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Public Policy; Public Policy
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FEDERAL HEALTH CARE REFORM 2009: START-UP CAPITAL COSTS FOR HEALTH CARE CO-OPS AND A PUBLIC PLAN
FEDERAL HEALTH CARE REFORM 2009: START-UP CAPITAL COSTS FOR HEALTH CARE CO-OPS AND A PUBLIC ... care payment reforms;Risk adjustment;Risk-based capital=RBC;Risk categories=Risk classes; 6646 10/30/2009 ...- Authors: Ian G Duncan, James Galasso, James A Geyer, Jay C Ripps, Cabe Chadick, Karl Lewis, Sara Teppema, Shari Westerfield
- Date: Oct 2009
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Public Policy; Social Insurance>Government-funded healthcare
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Summary of House of Representatives Tri-Committee Bill – H.R. 3200
Summary of House of Representatives Tri-Committee Bill – H.R. 3200 Summary of House of Representatives ...- Authors: William Lane
- Date: Sep 2009
- Competency: 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 insurance; Public Policy; Social Insurance>Government-funded healthcare
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Health Insurance - Legislation and Inflation
Inflation Discussion of possible national health care reform measures, including coverage for the unemployed, ... administrated plans. Also an overview of recently enacted legislation at both the state and federal level, and ...- Authors: Richard H Hoffman, William C Hsiao, Robert J Myers, William Thomas
- Date: Apr 1975
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Public Policy