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Strategies for Leveraging the ACA Risk Adjuster
the additional allowable data sub- mitted to the U.S. Department of Health and Human Services (HHS). ... account for this effect. A study performed by the U.S. Government Accountability Office (GAO) COnTInUEd ...- Authors: Jason Siegel
- Date: Oct 2013
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks
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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings ... costs changed that. As an increasing part of the U.S. gross domestic product and American workers’ paychecks ...- Authors: Rick S Pawelski
- Date: May 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Hospital Charges Become ASignificant Issue Again
Hospital Charges Become ASignificant Issue Again Hospitals, through consolidation and ... (continued on page 3, bottom) HE A LT H SE C T I O N NE W S “For Professional Recognition of the Health Actuary” ...- Authors: John Cookson
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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The Actuarial Memorandum in Support of the Health Statement
only. Using a report format with specific section(s) for the narrative and technical components is recommended ... ing on the actuarial opinion along with the reason(s) for the alternate wording, in accordance with Section ...- Authors: Annette James, Nancy Hubler
- Date: Oct 2018
- Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>General business skills; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance
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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article ... Prescription Drug Plans and Commercial Exchanges By Shelly S. Brandel and douglas A. Proebsting The Affordable ...- Authors: Shelly Brandel
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
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The Art and Science Of Pricing SmallGroup Medical Coverage
The Art and Science Of Pricing SmallGroup Medical Coverage This article examines two general approaches ... that is almost always required is a continuation table where claimants are sorted by the size of their ...- Authors: William Lane
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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The Actuary and Health Insurance Mergers and Acquisitions
The Actuary and Health Insurance Mergers and Acquisitions Actuarial appraisal and role of ... cluding remedial action shock in- duced lapses and mortality rates) ! Premium: modal distribution and modal ...- Authors: James O'Connor
- Date: Apr 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Implications of Individual Subsidies in the Affordable Care Act—What Stakeholders Need to Understand
Implications of Individual Subsidies in the Affordable Care Act—What Stakeholders Need to Understand ... 21 eND NOTeS 1 Source: McKinsey Center for U.S. Health System Reform, Individual Market Enrollment: ...- Authors: Gregory Fann
- Date: May 2014
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability