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Valuation and Pricing Challenges Under The ACA
VALUATION AND PRICING CHALLENGES UNDER THE ACA By Daniel S. Pribe Editors’ note: This article was written prior ... target plus 80% of excess greater than 108%. Daniel S. Pribe is a director, consulting actuary with Optum ...- Authors: Daniel Pribe
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge
- Publication Name: In The Public Interest
- Topics: Public Policy
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Selling Health Insurance Across State Lines
implementation of the ACA. The ACA allows the U.S. Office of Personnel Management (OPM) to oversee ... of America, the District of Colum- bia and the U.S. Territories. 2 From Kaiser Health News: State coverage ...- Authors: Lawrence Mitchell
- Date: Aug 2017
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health insurance; Public Policy
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Implementing the ACA: An Actuarial Perspective
Protection and Affordable Care Act, passed by the U.S. Congress in early 2010. Accountable Care Organization ... of the actual health care costs to the average U.S. citizen,” said Poppe. “Most employees are not ...- Authors: Karin Swenson-Moore
- Date: Dec 2013
- Competency: Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
payment percentages by star rat- ing are shown in the table in Figure 1. The percentage of the savings a plan ... rebate percentages by star rating are shown in the table in Figure 2. Special rules apply to low-enrollment ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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IRS Issues Notice 2011-02 in Connection with the New $500,000 Compensation Deduction Limit
IRS Issues Notice 2011-02 in Connection with the New $500,000 Compensation Deduction Limit Discusses Notice 2011-02 ... Issue 2 mAy 2011 TAXING TIMES | 37 S ection 162(m)(6) of the Internal Revenue Code (the ...- Authors: Daniel Stringham
- Date: May 2011
- Competency: External Forces & Industry Knowledge
- Publication Name: Taxing Times
- Topics: Public Policy
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Long-Term Care Compliance Issues
nonforfeiture, which basically says that we set up a table of rate increase caps which, should an insurance ... question is does the company need to disclose this table of rate? Some of the numbers in there can be startling ...- Authors: Richard W Garner, Andrew M Perkins, Loida Rodis Abraham
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Long-term Care>Long-term care insurance; Public Policy
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Is A Physician In Your Future?
Is A Physician In Your Future? This article presents the concept of comprehensive care management as ... Volume 30, No. 8 The Actuary l October 1996 7 t s a physician in your future? by Brent Greenwood ...- Authors: Brent Greenwood, David C Epstein
- Date: Oct 1996
- Competency: External Forces & Industry Knowledge
- Publication Name: The Actuary Magazine
- Topics: Public Policy
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Impact of Proposed Health Care Reform on Smaller Insurance Companies
Impact of Proposed Health Care Reform on Smaller Insurance Companies This article discusses ... potential complete take- over of health insurance for U.S. citizens 55 and older will seriously encroach on ...- Authors: Cabe Chadick, David Dillon
- Date: Nov 2009
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Small Talk
- Topics: Health & Disability>Health insurance; Public Policy
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Responsible Health Care Reform
Responsible Health Care Reform This article is the first in a four-part series about what actuaries ... believe there was universal agreement that the U.S. health care system is not delivering the value ...- Authors: Lawrence McCarthy, Michelle L Raleigh
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Public Policy
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Small-Employer Health Insurance Purchasing Alliances
back when Clinton was first proposing these. It s something that has stuck with us. Florida started ... health plans and a large number of benefit options, it s because some of those health plans offer more than ...- Authors: James O'Connor, Harvey Sobel, Jim H Srite, Susan Jackson, Richard Figueroa
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Public Policy