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  • 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
  • Creating Value through Integrated ERM for Health Care Insurers in Europe
    Europe The paper focuses on value creation for European health insurance companies through the practical ... practical application of integrated ERM frameworks. Committee of Sponsoring Organizations=COSO;Corporate governance;Data ...

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    • Authors: George C Orros
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Topics: Enterprise Risk Management>Financial management; Health & Disability>Health insurance
  • Consumers to the Rescue? A Primer on HDHPs and HSAs
    Consumers to the Rescue? A Primer on HDHPs and HSAs This article examines the history, theory, and effectiveness ... effectiveness of high-deductible health plans and health savings accounts. Consumer driven health plans=CDHP ...

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    • Authors: Fritz Busch, Barbara Collier, Jason Karcher , Steven Phillips
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
  • The Future of the Brazilian Health Market
    The Future of the Brazilian Health Market A discussion of the future of the Brazilian Health Market ... Market with a focus on the legislation which passed in June 1998 to regulate the private health insurance industry ...

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    • Authors: Ronald Poon-Affat
    • Date: Sep 1998
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: International News
    • Topics: Health & Disability>Health insurance; Public Policy
  • Medicare Advantage risk scores – Are you competitive?
    Medicare Advantage risk scores – Are you competitive? What you need to know about risk scores to be competitive ... competitive in the Medicare Advantage market. Medicare;Risk adjustment;Health insurance;Return on investment ...

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    • Authors: Corey Berger
    • Date: Oct 2018
    • Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
  • 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
  • Visions for the Future of the U.S. Health Care System - The Other Side of the Coin
    Visions for the Future of the U.S. Health Care System - The Other Side of the Coin An essay suggesting ...

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    • Authors: Application Administrator
    • Date: Jun 2009
    • Competency: Communication>Persuasive communication; Communication>Written communication; Leadership>Influence; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Reinsurance>Stop-loss insurance
  • The Sustainability of the New American Entitlement: Actuarial Values and the ACA
    The Sustainability of the New American Entitlement: Actuarial Values and the ACA The article discusses ... discusses the sustainability of the ACA individual market from a public entitlement standpoint. A key point ...

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    • Authors: Gregory Fann
    • Date: Sep 2016
    • Competency: Communication>Difficult message delivery; Communication>Persuasive communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Change management; Leadership>Influence; Leadership>Thought leadership; Professional Values>Ethical standards; Professional Values>Practice expertise; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: In The Public Interest
    • Topics: Economics>Behavioral economics; Economics>Financial markets; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability
  • Future of Group Benefits in Canada
    Future of Group Benefits in Canada By Melissa Carruthers A description of the keys to future success ... success in the Canadian group benefits business. Consumer-driven health plans;Group health plans;strategic ...
    • Authors: Melissa Carruthers
    • Date: May 2018
    • Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership; Strategic Insight and Integration>Strategy development
    • Publication Name: Innovators & Entrepreneurs
    • Topics: Health & Disability>Health insurance
  • Human Nature and the US Health Care System, Part I
    and the US Health Care System, Part I The third in a series of four articles that illustrate the “soft” ... “soft” approach of game theory using Thucydides’ master work, The History of the Peloponnesian War. By ...
    • Authors: Carlos Eduardo Fuentes
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>General business skills; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Innovators & Entrepreneurs
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance