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  • Reflecting Risk in Pricing Survey Report
    28% having less than 10 credentialed actuaries, 17% having 10-29, 18% having 30-79, 13% having 80- ... responses believe this risk is not material (17%), not applicable (17%) or not specifically captured (15%).

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    • Authors: Society of Actuaries, Margaret O'Connor, Robert Stone, Donna Christine Megregian, Oliver Gillespie, Wing Fung Wong
    • Date: Sep 2010
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Global Perspectives; Health & Disability>Health insurance; Life Insurance>Pricing - Life Insurance
  • Session 045: Operational Risk Management for Health Insurance
    Adjustment, RADV, ROI Analysis, General Analysis, UM 17 High Margin Pricing •Examples • One LOB Subsidizing ... GAAP, Statutory, Economic or Market Consistent, IFRS, Rating Agency model) Business Included – subset ...

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    • Authors: Marc Lambright, Edward M Mailander, Rebecca B Scotchie
    • Date: May 2019
    • Competency: Strategic Insight and Integration
    • Topics: Enterprise Risk Management>Operational risks; Health & Disability>Health insurance
  • Health Care Variability
    Health Care Variability Discusses variability in per capita health-care costs by health-care ... variability. This data represents an analysis of 17 of the larger hospitals in a large metropolitan area ...

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    • Authors: John Cookson
    • Date: Feb 2005
    • Competency: External Forces & Industry Knowledge
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health insurance
  • The Potential of Infra-Low Frequency Neurofeedback to Reduce Medical Claim Costs and Dramatically Improve Patients’ Lives
    Healthcare Solutions: covers unspecified neurofeedback[17] New Hampshire Celtic Insurance Company, owned by ... /policies/behavioral-policies/NV.CP.BH.300.pdf. [17] Anthem Blue Cross and Blue Shield, “Medical Policies ...

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    • Date: Jul 2023
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health insurance
  • Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1
    Group COVID-19 Hospitalizations per 100,000 0–4 117 5–17 77 18–29 470 30–39 808 40–49 1,219 50–64 2,026 65–74 ... 2019 Spinal muscular atrophy $2.2M Zynteglo Aug. 17, 2022 Beta thalassemia $2.8M Skysona Sep. 16, 2022 ...

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    • Authors: Kristi Bohn
    • Date: Mar 2024
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health insurance
  • Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2
    Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2 This is Part 2 of ... independent source for health policy research) at a May 17, 2023, Senate subcommittee hearing titled “Examining ...

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    • Date: Mar 2024
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Public Policy
  • Medicare Supplement and FASB’s Long-Duration Targeted Improvements Project                           Part I: Context
    Medicare Supplement and FASB’s Long-Duration Targeted Improvements Project    ... ASU 2018-12). [4] This quotation is from paragraph 17 of Appendix G of the AICPA’s Life and Health Insurance ...

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    • Authors: Rowen Bell
    • Date: Aug 2021
    • Competency: External Forces & Industry Knowledge
    • Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Health & Disability; Health & Disability>Health insurance
  • Paper On Group Medical Area Factors Available
    15. Burlington, VT .76 16. Cedar Rapids. IA .76 17. Duluth, MN .76 18. Fayetteville, NC .76 19. Greensboro ... 2: 7. ;: 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Most Eicpensive Los Angeles. CA 1.73 ...

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    • Authors: Mark Alan Chesner
    • Date: Oct 1992
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health insurance
  • Is there currently an underwriting cycle?
    billion of net premiums written in 2010. There were 17 such Blues affiliates in this premium range, as ... I obtained the five-year history pages of these 17 plans’ annual statement filings in 2011, 2007 and ...

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    • 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
  • Health Company Pandemic Modeling Tool
    (16) LOB2 Population: 750,000 Covered Members (17) Insured Population: 1,750,000 (18) Total Private ... Hospital (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) 0 - 4 51.1% 47.5% 1.40% 43.5% 55 ...

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    • Authors: Jim Toole
    • Date: Jun 2010
    • Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods