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Prologue
Prologue Introduction to the ACA @ 5 publication Patient Protection and Affordable Care Act= PPACA=Affordable ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Jim Toole
- 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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A Comparative Analysis of Chronic and Non-Chronic Insured Commercial Member Cost Trends
A Comparative Analysis of Chronic and Non-Chronic Insured Commercial Member Cost Trends Disease management ... chronic diseases chronics. The untested assumption is that without DM, the chronic and non-chronic trends ...- Authors: Ian G Duncan, Robert Bachler, Iver Juster
- Date: Jun 2005
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership
- Topics: Enterprise Risk Management>Compliance; Experience Studies & Data>Disability; Experience Studies & Data>Morbidity; Health & Disability>Health care; Health & Disability>Health risks
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Profiling Physician Performance
Panelists discuss the methods HMOs employ to measure their providers' quality of care, outcomes, compliance ... guidelines, and cost control. From the Record of the Society of Actuaries, Vol. 25, No. 2. Health care ...- 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
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Health Insurance and the Valuation Actuary
Health Insurance and the Valuation Actuary Panelists discuss the role of the valuation actuary in health ... health insurance. From the Record of the Society of Actuaries, Vol. 24, No. 2. Asset valuation;Cash ...- 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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Health Section Issues New IBNR Study
Study Summary of the health section council’s research project to assess the accuracy of commonly used ... used IBNR estimation methods over a wide range of scenarios. Estimation methods;Health reserves;Stochastic ...- Authors: Steven Siegel, Cabe Chadick
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Financial Reporting & Accounting; Health & Disability>Health care; Modeling & Statistical Methods>Modeling efficiency
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Health Watch, October 2017, Issue 84
Health Watch, October 2017, Issue 84 Read the October 2017 issue of Health Watch, published ... October 2017, Issue 84 Read the October 2017 issue of Health Watch, published by the Health Section. Practical ...- Authors: Society of Actuaries
- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability
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Health Watch, October 2018, Issue 87
Health Watch, October 2018, Issue 87 Read the October 2018 issue of Health Watch, published ... October 2018, Issue 87 Read the October 2018 issue of Health Watch, published by the Health Section. Practical ...- Authors: Society of Actuaries
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- 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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The ACA--Two Policy Experts' Perspectives
The ACA--Two Policy Experts' Perspectives Round table discussion regarding the pros and cons of ... of the Affordable Care Act. Health insurance;Medicaid;Health care costs;Patient Protection and Affordable ...- Authors: Kurt Wrobel
- Date: Oct 2013
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Medicaid Encounter Data: The Next National Data Set
Medicaid Encounter Data: The Next National Data Set Summary of Medicaid encounter data, including how ... sent to CMS. The status of the CMS T-MSIS project is discussed, as well as the future of Medicaid encounter ...- Authors: Jennifer Gerstorff, Sabrina Gibson
- Date: Sep 2016
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Internal forces and business performance
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability
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Consumers to the Rescue? A Primer on HDHPs and HSAs
Consumers to the Rescue? A Primer on HDHPs and HSAs This article examines the history, theory, and effectiveness ... effectiveness of high-deductible health plans and health savings accounts. Consumer driven health plans=CDHP ...- Authors: Fritz Busch, Barbara Collier, Jason Karcher , Steven Phillips
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance