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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 ...- 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
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The Actuarial Memorandum in Support of the Health Statement
The Actuarial Memorandum in Support of the Health Statement Preparing an effective actuarial memorandum ... memorandum in support of the health actuarial opinion. Actuarial Opinion and Memorandum = AOM;Appointed Actuary;Actuarial ...- 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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Digest of Forum on Individual Health and Accident Insurance, Past and Present
Digest of Forum on Individual Health and Accident Insurance, Past and Present Discusses the significant ... trends in the development of Individual Health and Accident Insurance business, the types of benefits ...- Authors: Society of Actuaries
- Date: Jun 1952
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance
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The Role of the Affordable Care Act in Payment Reform
The Role of the Affordable Care Act in Payment Reform Affordable Care Act and Payment Reform Patient ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Juliet Michelle Spector
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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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 ...- 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
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Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
Organizations: Getting a Bigger Bang for the Buck Panel discusses the effects of reduced payment levels to many ... Medicare managed care organizations. From the Record of the Society of Actuaries, Vol. 24, No. 2. Chronic ...- Authors: Oscar Lucas, Peggy Tyndall
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Sickness and Accident
Sickness and Accident Discussion of the following topics pertaining to disability income and other health ... insurance: 1. What portions of the loss of income and of the expenses incurred are properly insurable ...- Authors: Society of Actuaries, James F Coleman, John C Maynard, George N Watson, Manuel Gelles, Ralph H. Maglathlin, Herbert J. Stark, Henry S Beers
- Date: Oct 1953
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Government-funded healthcare
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Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level Presenters discuss ... discuss the differences between patient treatment protocols and length-of-stay guidelines, and some of the ...- Authors: Donna Kalin, Deborah Loveland, William E Mabe
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
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Will MedSupp Have “2020” Vision in the World of MACRA?
MedSupp Have “2020” Vision in the World of MACRA? This article discusses the impact for MACRA legislation ... legislation that will impact the Medicare Supplement market in 2020 and the ramifications for Med Supp carriers ...- 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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Federal Health Care Reform: Excise Tax on High-Cost Employer Plans
Employer Plans The actuarial committee that authored this report developed a model to estimate the revenue the ... the tax would generate. The results point out key considerations for an excise tax on high cost health ...- Authors: Lawrence McCarthy, R Vance, Joseph Badalamenti, Sara Teppema, David M Tuomala, Ruby S Kao
- Date: Jan 2010
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health insurance; Public Policy