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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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Medicare Advantage Part C Revenue: Challenges Ahead
Challenges Ahead Analysis of the projected impact of the Affordable Care Act on Medicare Part C revenue ... with background on recent historical revenue trends. The analysis is largely based on CMS published data ...- Authors: Timothy Courtney
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Public Policy
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ORSA 101 for Health Actuaries
an overview of the Own Risk and Solvency Assessment (ORSA) model act, and of enterprise risk management ... health actuaries have not historically focused as much on ERM. But health coverages do have risks that can ...- Authors: Daniel Perlman, Douglas Norris
- Date: May 2016
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks
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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 ...- 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
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What does ERM mean for Health Practitioners?
Practitioners? In this article, the author discusses the considerations and advantages of implementing an integrated ... enterprise risk management program for a health insurance company, and presents a summary of Aetna's ...- Authors: Max Rudolph
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Relationship Management>Staff management and motivation; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Enterprise Risk Management; Modeling & Statistical Methods>Forecasting
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ERM Opportunities for Health Practitioners
Health Practitioners Summary of recent SOA-sponsored research on Enterprise Risk Management practices as applied ... plans, and health finance professionals. Enterprise risk management=ERM; 9541 5/1/2010 12:00:00 AM ...- Authors: Max Rudolph
- Date: May 2010
- Competency: Communication; External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Best practices; Enterprise Risk Management; Enterprise Risk Management>Compliance
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At the Intersection of Public Health and Actuarial Practice
At the Intersection of Public Health and Actuarial Practice An edited written interview with two actuaries ... public health professional on issues related to the intersection between the two fields. Health care costs;Health ...- Authors: Barbara Zabielski
- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability>Health care; Health & Disability>Payment models; Public Policy; Social Insurance>Medicaid
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Is That Your Final Answer? Face the Challenge of the Future
Is That Your Final Answer? Face the Challenge of the Future Remain a competitor in health ... Face the Challenge of the Future Remain a competitor in health insurance with value, knowing the competition ...- Authors: Lindsay Resnick
- Date: Apr 2000
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Disability in the New Millennium -A UK Perspective
Disability in the New Millennium -A UK Perspective General discussion of Critical Illness Insurance ...- Authors: Susan D Elliott
- Date: Aug 2000
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
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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