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  • Responsible Health Care Reform Part 2: Access to Care
    Responsible Health Care Reform Part 2: Access to Care Feature article discussing pending health care reform and the issue of access to care. From The Actuary Magazine, April/May 2010 Vol 7 Issue ...

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    • Authors: Lawrence McCarthy, Barbara Niehus
    • Date: Apr 2010
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health care; Public Policy
  • Is there currently an underwriting cycle?
    Is there currently an underwriting cycle? An analysis of the 1999-2011 experience of all Blues plans of betweeen $1.8 and $3.8 billion in annual revenue in 2010 to determine if there is any ...

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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
  • Dental Diagnosis Coding: The State of the Art
    Dental Diagnosis Coding: The State of the Art Diagnostic coding in dental is in its infancy. This article explores the use of medical diagnostic coding and how it may transform dental care in ...

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    • Authors: Joanne E Fontana
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • An Executive Roundtable on the State of Predictive Analytics in U.S. Health Care
    An Executive Roundtable on the State of Predictive Analytics in U.S. Health Care Many executives are talking about predictive analytics uses in health insurance. Analytics and informatics ...

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    • Authors: Marilyn Medved McGaffin
    • Date: Mar 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics
  • Commercial Health Care: What’s Next?
    Commercial Health Care: What’s Next? This article contains a condensed summary and excerpt from the fourth white paper in the Commercial Health Care: What’s Next? series. health care reform;risk ...

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    • Authors: David Dillon
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
  • Health Care Financing Systems Around the World
    Health Care Financing Systems Around the World Presenter describes many of the desirable characteristics of a health care financing system, and alternative health care financing systems as they ...

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    • Authors: Chiu-Cheng Chang
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Global Perspectives; Health & Disability>Health care; Health & Disability>Payment models; Public Policy
  • Profiling Physician Performance
    Profiling Physician Performance Panelists discuss the methods HMOs employ to measure their providers' quality of care, outcomes, compliance with best practice guidelines, and cost ...

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    • Authors: Joel C Hoffman, David Josephson, David Terry, John C Vataha, Kelly Myers
    • Date: Jun 1999
    • 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: Actuarial Profession>Ethics; Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Simulation
  • Medicare Supplement Update
    Medicare Supplement Update Presented at October 2000 Annual Meeting. Discusses recent enrollment and cost trends and competitive dynamics with Medicare+Choice capitated plans. Expected future ...

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    • Authors: Michael S Abroe, Mark Bartorelli, Sally T Burner, Richard F Coyle
    • Date: Oct 2000
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Practice expertise
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare
  • Surplus and the ACA
    Surplus and the ACA Surplus and the ACA Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care ...

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    • Authors: Daniel Pribe
    • 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
  • 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 Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health ...

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    • 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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