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Medicare Supplement and FASB’s Long-Duration Targeted Improvements Project Part II: Conclusions
have simply not been part of the benefit reserve valuation process. Some insurers might wonder: Can we construct ... going through all the work to build a robust LDTI valuation model? Unfortunately, the integration under LDTI ...- Authors: Rowen Bell
- Date: Aug 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Health & Disability; Health & Disability>Health insurance
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The Rise of Python: Powerful, Robust Calculation Software
and opinions expressed herein are those of the individual authors and are not necessarily those of the ... build full end-to-end processes, such as regular valuation processes and ORSAs. It is a general-purpose programming ...- Date: Aug 2021
- Competency: Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence; Technology & Applications>Computer science; Technology & Applications>Software; Technology & Applications>Artificial intelligence & machine learning; Technology & Applications>Automation; Technology & Applications>Finance transformation; Technology & Applications>Visualization
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Response to March 2021 Practice Note on ASOP 6
Advantage (MA)12 plans exist in the form of either individual or group-issued contracts. Each type receives ... practice of not age-rating the premiums for these individual or group MA, MA-PD, or stand-alone Medicare Part ...- Authors: Charles Edwards
- Date: Aug 2022
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Morbidity; Health & Disability>Health care
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Our Value-Based Cup Runneth Over
parameters for value-based contracts, come to the table with an open mind and options. As provider actuaries ... Bring an open mind and options to the negotiating table. Whether quality measurement, risk adjustment models ...- Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
- Date: Aug 2022
- Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
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Navigate through Risk-Based Capital with Success
follow the process shown in Table 1 based on the TAC-to-ACL Ratio. Table 1 Process for Regulatory Consequences ... exceptions to the standard provisions described in this table. Health RBC is a standardized way to aggregate risk ...- Authors: Karena Weikel, Jinjun (Sophia) Yu
- Date: Dec 2021
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession; Finance & Investments
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Understanding Health in the Big Picture
including identifying high-risk populations and individual patients appropriate for intensive intervention ... in predicting selected health outcomes at the individual patient level. Specific topics included the correlation ...- Authors: Jill Van Den Bos, Stoddard Davenport
- Date: Aug 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health risks
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2021 SOA Health Meeting Recap
2021 SOA Health Meeting Recap 2021 SOA Health Meeting Recap By Craig Kalman Health Watch, August ... and opinions expressed herein are those of the individual authors and are not necessarily those of the ...- Authors: Craig Kalman
- Date: Aug 2021
- Competency: Leadership
- Publication Name: Health Watch
- Topics: Actuarial Profession
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Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
liability associated with each enrollee. A change in individual market regulatory dynamics occurred in October ... shouldn’t be looking at the risk level of that individual consumer signing up for coverage. You should ...- Authors: Greg Fann
- Date: Jun 2022
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Health & Disability>Health care
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Better Care Through Understanding the Customer Not Just the Patient
data points are closest to other “like” members. Table 1 is an example of the resulting grouping for six ... representing the lowest and dark green the highest. Table 1 Member Retention Cluster Analysis * Normalized ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Responsible Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate Requirements
Responsible Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate ... and opinions expressed herein are those of the individual authors and are not necessarily those of the ...- Authors: James Dolstad, Abby Steele
- Date: Aug 2022
- Competency: Professional Values; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Predictive Analytics