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  • Medical Out-of-Pocket Products Overview
    HDHPs moved a larger share of the cost of health care onto the consumer. MOPPs were designed to ease ... plan, the adjudication of claims is done at the primary carrier—an administrative savings. 2. MOPP benefits ...

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    • Authors: Rex Durington
    • Date: Mar 2017
    • Competency: Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • The Marketing Front
    has authored the SOA study note titled "Pric- ing Direct Response Insurance Programs." MR. H. MICHAEL SHUMRAK: ... already in place at Fidelity Investments. The primary focus of my comments is going to be more aimed ...

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    • Authors: Thomas Marra, H Shumrak, Richard D Jameison
    • Date: May 1993
    • Competency: Strategic Insight and Integration
    • Publication Name: Record of the Society of Actuaries
    • Topics: Annuities>Marketing and distribution - Annuities; Health & Disability>Health insurance; Life Insurance>Marketing and distribution - Life Insurance
  • 112 - Variation in Provider Reimbursement Levels
    closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... Variation in Total Claims Costs  Total Cost of Care is driven by three factors  Utilization – for example ...

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    • Authors: Charles Mills
    • Date: Jul 2019
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • New Contract Medicare Star Ratings: Why The Sudden Cliff?
    New Contract Medicare Star Ratings: Why The Sudden Cliff? On average, contracts receiving their first star rating receive ... Rating cliff? Value-based insurance design, Managed care 1/6/2020 12:00:00 AM ...

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    • Authors: Suzanna-Grace Sayre, Danielle Beierle
    • Date: Jan 2020
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
  • Advanced Commercial Pricing Boot Camp for Health Actuaries
    Advanced Commercial Pricing Boot Camp for Health Actuaries This program will be a technically ... will consider what we did prior to the Affordable Care Act (ACA), in the recent years since the start of ...

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    • Authors: Mary Kindel Van der Heijde, Travis Gray, Douglas Norris
    • Date: Jul 2017
    • Competency: External Forces & Industry Knowledge; Professional Values; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Session 185: The Health Insurance Customer Journey: A Behavioral Finance Perspective
    closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... enrollment Member Acquisition • Health and wellness • Care management • Social Determinants of Health Member ...

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    • Authors: Lijia Guo, Randall Herman, Joseph Slater
    • Date: Mar 2020
    • Competency: Strategic Insight and Integration
    • Topics: Economics; Economics>Behavioral economics; Health & Disability; Health & Disability>Health insurance
  • The Latin-American Market
    tariffs, and to repeal import substitution are the direct consequences of this development. If we look at ... index to measure the price component of medical-care cost increases, there is the issue of the proper ...

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    • Authors: Kevin Law, Camilo Salazar, Richard D Umstead, Enrique Kozolchyk
    • Date: Apr 1993
    • Competency: Strategic Insight and Integration
    • Publication Name: Record of the Society of Actuaries
    • Topics: Annuities>Marketing and distribution - Annuities; Health & Disability>Health insurance; Life Insurance>Marketing and distribution - Life Insurance
  • Session 26PD: MA-PD Market: Entry and Expansion
    there “must-have” providers (hospitals, IPAs, Primary care groups etc…) Plan Types. General Enrollment ... Supplemental files – chart chases  Why does the provider care?  Trouble getting charts – could affect RADV audit ...

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    • Authors: Society of Actuaries, Audrey L Halvorson, Jonathan Hendrickson
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health insurance
  • Product Management
    the top says we've got to get into the long-term care market. We will design a product, price it, give ... then we decide that these people need long-term care insurance. Since we happen to sell products to the ...

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    • Authors: John Hele, Anne Katcher, Alastair G Longley-Cook, Steven Schreiber, John F Bevacqua
    • Date: Jun 1992
    • Competency: Strategic Insight and Integration
    • Publication Name: Record of the Society of Actuaries
    • Topics: Annuities; Health & Disability>Health insurance; Life Insurance
  • Health Predictive Analytics Seminar
    Health Predictive Analytics Seminar The Health Predictive Analytics Seminar is an interactive, ... models developed by analysts. Health, Long Term Care Insurance and Modeling Section members will also ...

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    • Authors: Society of Actuaries, Ian G Duncan, Sreenivas Konda
    • Date: Mar 2018
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Analytics and informatics