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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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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 ... policymakers on issues including principles for market reform, individual insurance, and risk factors.- Authors: Heather E Jerbi, Melissa Stevens
- Date: Feb 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Public Policy; Public Policy
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Transparency Leads Actuarial Survey of Trend-Benders
Actuarial Survey of Trend-Benders Summary of results of a 2010 Health Section survey of actuaries and Medicare ... Medicare population, on ways to bend the cost trend curve downward. Issues included transparency, quality ...- Authors: Sara Teppema
- Date: Sep 2010
- Competency: Communication; Leadership>Professional network leverage; Leadership>Thought leadership; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Public Policy; Public Policy
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North of the Border with the S.O.eh?
North of the Border with the S.O.eh? A review of the 2009 Health Spring Meeting, which included speakers ... speakers & sessions on the future of the SOA, U.S. health care reform, claims data issues & improvements ...- Authors: Douglas Norris
- Date: Sep 2009
- Competency: Communication>Difficult message delivery; External Forces & Industry Knowledge; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Economics>Health economics; Public Policy
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PPACA Heats Up Actuaries in Orlando: A Tour of the SOA ’10 Health Meeting
in Orlando: A Tour of the SOA ’10 Health Meeting A report on the proceedings of the June 2010 SOA health ... reform, opportunities to expand actuaries' roles, the global financial crisis, and collaboration with other ...- Authors: Douglas Norris
- Date: Sep 2010
- Competency: Communication; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Professional associations; Economics>Health economics; Public Policy
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Chairperson’s Corner 2009 Health Section Initiatives
Initiatives The Health Section chairperson discusses the past year's activity, especially the Visions ... Visions for the Future of the U.S. Health Care System essay contest, and an update on the Untapped Opportunities ...- Authors: Jennifer Gillespie
- Date: Sep 2009
- Competency: Communication>Written communication; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Actuarial Profession>Traditional careers; Public Policy; 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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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 ...- 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
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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 ...- 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
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Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal to address ... accountable care organizations. Capitations would be risk-adjusted, non-capitated costs would be covered by ...- Authors: Mark Florian
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance