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  • Straight Through Processing – How Much Farther?
    Straight Through Processing – How Much Farther? A discussion of the efforts to implement straight ... standardization of the HIPAA form for long term care claims data. Claims processing;Data quality; 25889 ...

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    • Authors: Sandra Latham
    • Date: Dec 2010
    • Competency: Communication>Written communication; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Long-Term Care News
    • Topics: Actuarial Profession>Best practices; Long-term Care>Long-term care insurance
  • Navigating Cost-Sharing Reduction Subsidy Defunding
    Navigating Cost-Sharing Reduction Subsidy Defunding This paper will examine why CSR defunding ... 2020 premiums. Patient Protection and Affordable Care Act, Rate regulation, Individual health plans 3/14/2019 ...

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    • Authors: Michael Cohen, Peter van Laarhoven
    • Date: Mar 2019
    • Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy
  • psn-2017-iss91-cutler-wrapping-up
    psn-2017-iss91-cutler-wrapping-up This issue wraps up the publication of essays to ... Pensions;private sector pension plans;decumulation;long-term care insurance;defined contribution plans 6442475608 ...

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    • Authors: John Cutler
    • Date: Feb 2017
    • Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Strategy development
    • Publication Name: Pension Section News
    • Topics: Long-term Care>Long-term care insurance; Long-term Care>Public financing - Long-term Care; Pensions & Retirement>Defined benefit plans; Pensions & Retirement>Defined contribution and 401k plans; Pensions & Retirement>Retirement risks
  • Medicare Advantage risk scores – Are you competitive?
    status of their populations continues to be a primary key to their success. This article updates those ... member based on ICD- 10 diagnosis codes from health care claims. A member is assigned an HCC if an ICD- 10 ...

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    • Authors: Corey Berger
    • Date: Oct 2018
    • Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
  • With Age Comes Wisdom:Understanding Maturity Extension Rider
    accumulate to be equal to face amount by maturity. The primary issues of policyholders surviving to and past ... these obser- vations is issue age 85; this is a direct consequence of the 75- 80 SOA Basic Table’s use ...

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    • Authors: Connie Cheng, Anji Li Zhao
    • Date: Mar 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Reinsurance News
    • Topics: Life Insurance>Product development - Life Insurance; Life Insurance>Universal life
  • ERM Culture Alignment to Enhance Competitive Advantage
    percent of respondents identified risk culture as a primary contributor to the financial crisis. Even though ... accepting and promoting ERM and ERM culture. While direct leadership engagement has immediate impact on corporate ...

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    • Authors: Joanna Keith, Henry Killackey, Abrahim Althonayan
    • Date: Apr 2012
    • Competency: Leadership>Change management; Relationship Management>Staff management and motivation; Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Risk Management
    • Topics: Enterprise Risk Management
  • Horses for Courses
    value crediting, dividend payments, or mode of care benefit maximums); • Guarantees such as minimum ... granularity and detail of calculations also has a direct relationship with the time required to complete ...

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    • Authors: Van Beach
    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Change management; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: CompAct
    • Topics: Modeling & Statistical Methods>Asset modeling; Modeling & Statistical Methods>Deterministic models; Modeling & Statistical Methods>Dynamic simulation models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Simulation; Modeling & Statistical Methods>Stochastic models; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence; Technology & Applications>Computer science; Technology & Applications>Data warehousing; Technology & Applications>Software
  • The Missing 1 Percent
    The Missing ... Long-Term Care News May 2010 – Issue 25 10 | MAY 2010 | Long-Term Care News Jim ... to inhere in insurance claims payments—Long-Term Care (LTC) claims in particular. And, I wanted to find ...

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    • Authors: Jim Del Vecchio
    • Date: May 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Long-Term Care News
    • Topics: Health & Disability>Health information technology; Health & Disability>Electronic medical record
  • Understand ORSA Before Implementing It
    Understand ORSA Before Implementing It The National Association of Insurance Commissioners (NAIC) ... its prominence, the United States has started to direct its political influence toward the evolution ...

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    • Authors: Owen J Stein
    • Date: May 2012
    • Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Change management; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving
    • Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Compliance; Enterprise Risk Management>Governance; Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks
  • ReFocus 2018 – A “Predictable Surprise”
    ReFocus 2018 – A “Predictable Surprise” Summary of the ReFocus 2018 Conference, jointly sponsored ... two years in her home did she require 24- hour care. This is quite expensive and even with sup- port ...

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    • Authors: Ronald Klein
    • Date: May 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>General business skills; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: International News
    • Topics: Actuarial Profession>Professional development; Experience Studies & Data>Mortality