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Health Insurance and the Valuation Actuary
testing;Disability insurance;Group health plans;Health care reform;Health maintenance organization=HMO ;Health ... valuation tables;Long-term care=LTC;Long-term care insurance=LTCI;Managed care;Medicaid;Medicare;National ...- Authors: Application Administrator, Michael Francescone, Frank E Knorr, Glenn A Giese
- 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>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Health & Disability>Health care; Health & Disability>Health insurance; Long-term Care>Long-term care insurance
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Asset Adequacy Analysis for the Long-TermCare Product: A Case Study
Asset Adequacy Analysis for the Long-TermCare Product: A Case Study Asset Adequacy Analysis ... Analysis for the Long-Term Care Product: A Case Study by Amy Pahl from Long-Term Care Newsletter, December ...- Authors: Amy Pahl
- Date: Dec 2004
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Long-Term Care News
- Topics: Finance & Investments>Investment strategy - Finance & Investments; Long-term Care
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Actuarial Guideline 51 Impacts to Regulatory View of Current Predominating LTC Risks
Actuarial Guideline 51 Impacts to Regulatory View of Current Predominating LTC Risks State ... of year-end AG51 reports. long-term care insurance;long-term care;Asset Adequacy Analysis;Assumptions;Risk ...- Authors: Rhonda Ahrens, Frederick James Andersen
- Date: Dec 2018
- Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Long-Term Care News
- Topics: Actuarial Profession>Best practices; Enterprise Risk Management>Financial management; Enterprise Risk Management>Risk categories; Enterprise Risk Management>Risk measurement - ERM; Experience Studies & Data>Long-term care - Experience Studies & Data; Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Long-term Care>Long-term care insurance
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Provider Excess Insurance Contract Considerations
Provider Excess Insurance Contract Considerations Provider Excess is an insurance coverage offered ... to health care provider organizations that have a capitation agreement with a manged care organization ...- Authors: Gregory Demars
- Date: Nov 2007
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Reinsurance News
- Topics: Reinsurance>Health reinsurance
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Risk Adjustment in State Medicaid Programs
Risk Adjustment in State Medicaid Programs This article discusses some of the most important considerations ... Medicaid Managed Care program. From Health Watch, January 2008, No. 57. Managed care;Risk adjustment; ...- Authors: Robert Damler, Ross Winkelman
- Date: Jan 2008
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies ... Health care fraud;Predictive modeling;Medicare;Health insurance;Health economics;Health care costs;Data ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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Catastrophic medical excess reinsurance coverage and claim trends
overview of coverage and claim trends for managed care medical excess of loss insurance and reinsurance ... catastrophic claims . reinsurance treaty;health care costs;health insurance ;health reinsurance ;health ...- Authors: Mark Troutman
- Date: Mar 2016
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Reinsurance News
- Topics: Reinsurance>Health reinsurance
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Medicare + Choices: Impact of Self-Selection
Medicare + Choices: Impact of Self-Selection Panelists discuss different aspects ... management;Health care costs;Health insurance;Health maintenance organization=HMO ;Health risks;Managed care;Medicare;Risk ...- Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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The Individual ACA Market—What’s Next?
risk profile between the transitional Affordable Care Act (ACA) period (2014-2016) and under the final ... take on substantially more risk. PPACA;Affordable Care Act;Individual health plans;Health insurance;Risk ...- Authors: Kurt Wrobel
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance; Pensions & Retirement>Risk management; Public Policy
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Avian Flu: Bracing for a Pandemic
Avian Flu: Bracing for a Pandemic Discussion of the economics of a possible H5N1 pandemic, and ... Asset liability management=ALM;Assumptions;Health care costs;Risk-based capital=RBC;Mortality risk; 6734 ...- Authors: Darrell Knapp
- Date: Jul 2006
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Economics>Health economics; Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Operational risks; Life Insurance>Underwriting - Life Insurance