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  • Medicaid Innovation: The Need for Actuaries in the Medicaid Program
    Medicaid Innovation: The Need for Actuaries in the Medicaid Program Background on Medicaid and description ... Medicaid;Payment Reform;Payment Models;Social Insurance;Managed Care 6442468662 5/1/2016 12:00:00 AM ...

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    • Authors: Christine Bach
    • Date: May 2016
    • Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicaid
  • MACRA's Strategic Implications: What Providers and Health Plans Need to Know
    MACRA's Strategic Implications: What Providers and Health Plans Need to Know MACRA not only impact providers, ... Value-based insurance design, Health care payment reforms, Managed care 7/3/2019 12:00:00 AM ...

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    • Authors: Julie Witt, James Dolstad
    • Date: Jul 2019
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Economics; Economics>Health economics; Health & Disability
  • A Non-Traditional Actuarial Role
    A Non-Traditional Actuarial Role Profile of an actuary in a non-traditional actuarial role: focusing on medical ... retrospective and prospective. Assumptions;Health care costs; 9547 5/1/2010 12:00:00 AM ...

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    • Authors: Carolyn Young
    • Date: May 2010
    • Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers; Health & Disability>Health information technology; Modeling & Statistical Methods>Forecasting; Technology & Applications>Analytics and informatics
  • What is Available in 2014 for 2015 Individual Health Insurance Rate Filings
    What is Available in 2014 for 2015 Individual Health Insurance Rate Filings Help to generate ... in early 2014. Patient Protection and Affordable Care Act;Individual health plans;Data quality 6442451573 ...

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    • Authors: Jeff D Rohlinger
    • Date: Oct 2013
    • Competency: Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Annuities>Policyholder behavior - Annuities
  • Complexity Science - A New Frontier for Actuarial Exploration
    Complexity Science - A New Frontier for Actuarial Exploration Review of a report by ... model and manage complex systems, such as the health care system. Analytics and informatics;Predictive modeling; ...

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    • Authors: Steven Siegel
    • Date: Jan 2011
    • Competency: Leadership>Thought leadership; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Modeling & Statistical Methods
  • 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
  • Provider Risk-Sharing and Random Noise
    infrastructure. Pricing actuaries will need to estimate the direct effect of random fluctuations, the indirect effect ... Some- times Shi– Accountability to HMOs. Managed Care, Dec. 1, 2000. https://www .managedcaremag.com ...

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    • Authors: Thomas Messer
    • Date: Jul 2019
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Provider networks; Health & Disability>Provider risk
  • The Future of Health Actuaries
    financial management for insurance companies, managed care organizations and employee bene- fit plans. We should ... to under- stand patterns of care and to demonstrate how and why health care is delivered differently in ...

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    • Authors: Kara Clark
    • Date: Apr 2004
    • Competency: Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers
  • Is Your Integrated Delivery System Throwing Away Free Money?
    of both the delivery and the insur-ing of health care should be powerful. That is the theory behind an ... explain why. Optimizing value in an integrated health care delivery system requires aligning the financial ...

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    • Authors: Karan Rustagi
    • Date: Feb 2018
    • Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional development; Health & Disability>Payment models; Social Insurance>Medicare
  • October 2019 issue of Health Watch
    18|11: What Can We Do About the Cost of Health Care? We embarked on this nearly two years ago with ... to insert health care actuaries into the discussion on the rising cost of health care. This is not a short-term ...

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    • Authors: Society of Actuaries
    • Date: Oct 2019
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability