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Industry Perspective Consumer Protection -Continuation of Benefits in Event of HMO Insolvency
plan bene- fits for members confined in an acute care hospital on the date of insolvency until discharge ... magazine of NAMCR, the National Association of Managed Care Regulators, in late 1998. NAMCR was originally an ...- Authors: Harry L Sutton
- Date: Dec 2000
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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The Role of the Actuary in Self-Insurance Released
contribute to the self- insurance market for health care. Self- insurance is, arguably, the single most ... from early regulations through to the Affordable Care Act (ACA) • The differences between fully and self- ...- Authors: John Mange, Hobson Carroll
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Is That Your Final Answer? Face the Challenge of the Future
mation. Traditional medical carriers and managed care organizations alike are finding it increasingly ... market intelligence basics: premium adequacy, managed care value, and operations management. Don’t Be Afraid ...- 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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The Actuary and Health Insurance Mergers and Acquisitions
medicare supplement, disability, and long-term care business. This activity is likely to continue in ... companies such as a marketing company or managed care company may be part of the sale. The situation will ...- 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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Reserving Challenges for Consumer-Directed Health Products
| OCTOBER 2004 | HEALTH SECTION NEWS New health care products always come withnew challenges for the ... CDHP product compared to more conven- tional health care coverage. In addition, aggregate reserve levels ...- Authors: Stephen J Kaczmarek
- Date: Oct 2004
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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The Art & Science of Pricing Small Group Medical Coverage: Initial Pricing Schemes
David L. Reichlinger..................16 Health Care and the Role of the Actuary in Ireland by Aisling ... Rappaport....................23 Page The Managed Care Market - Current Status, Future Direction by Kevin ...- Authors: William Lane
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Will MedSupp Have “2020” Vision in the World of MACRA?
Recently passed legislation referred to as MACRA (Medi-care Access and CHIP Reauthorization Act of 20151) will ... modeling various reasonable scenarios of the Medi- care Supplement market, experience on policies issued ...- Authors: Kenneth Clark
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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What the New York Yankees and Boston Red Sox have Taught Me about Health Insurance... and Life
claim processing errors lead to higher health care costs? Perhaps the Yankees shortstop should have ... margins and a competi- tive edge. As the health care industry changes in America, health insurers will ...- Authors: Jeffrey Stock
- Date: Sep 2008
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Is there currently an underwriting cycle?
substantial federal grants under the Affordable Care Act (ACA) to enhance their rate review procedures ... for certain risks and given the current health care environment. This analysis considers the 1999–2011 ...- 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