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  • The Evolution of the Individual Market (Part II)
    The Evolution of the Individual Market (Part II) Part II of a two-part series discussing individual ... individual market evolution from before the ACA through President Trump's first term. Individual health plans ...

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    • Authors: Gregory Fann
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy
  • Massachusetts Payment Reform from an Actuarial Perspective
    Perspective The article is a case study of various actuarial concepts invovled in the design and implementtion ... implementtion of the AQC - a global budget provider payment arrangement implemented by Blue Cross Blue ...

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    • Authors: Matthew Day, Jill Wilson
    • Date: May 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Public Policy
  • Is there currently an underwriting cycle?
    underwriting cycle? An analysis of the 1999-2011 experience of all Blues plans of betweeen $1.8 and $3.8 billion ... there is any empirical evidence of an industry underwriting cycle. The analysis shows there is no such ...

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    • Authors: Mark Shaw
    • Date: Jan 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Systematic risk; Health & Disability>Health insurance
  • Letter from the Editors
    Letter from the Editors The editors of Health Watch have made health care reform the focus of the Sepctember ... Sepctember 2009 issue, and provide an introduction to the issue's contents. Health care reform;Health ...

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    • Authors: Grady Catterall, Mary Kindel Van der Heijde
    • Date: Sep 2009
    • Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Social Insurance>Medicare
  • Potential Membership Shifts for Medicare Prescription Drug Plans
    D plans aimed at reducing confusion surrounding the PDP selection process by making plan differences ... have responded by making the most significant changes in plan offerings since the program's inception ...

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    • Authors: Shelly Brandel
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Public Policy; Social Insurance>Medicare
  • Early Findings from the ACA's Medicaid Expansion
    Early Findings from the ACA's Medicaid Expansion Analysis of data from three Medicaid managed care ... and cost trends for newly eligible enrollees under the ACA's Medicaid expansion. Retention;Medicaid ...

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    • Authors: Richard Marko, Sabrina Gibson, Joshua Kuai, Mitchell Cole
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Public Policy; Social Insurance>Medicaid