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  • Up Front with the SOA Staff Fellow
    Up Front with the SOA Staff Fellow Review of 2015 from perspective of the Health Section Health care ...

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    • Authors: Joseph Wurzburger
    • Date: Dec 2015
    • Competency: Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Medicaid Work Requirements: Enrollment Impact of Different Policies
    Requirements: Enrollment Impact of Different Policies Article provides a market scan of recent state proposals ... for Medicaid work requirements as well as measures the impact to enrollment in different states. Health ...

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    • Authors: Colby Schaeffer, Nicholas Gersch
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Forecasting
  • Medicare Advantage risk scores – Are you competitive?
    Medicare Advantage risk scores – Are you competitive? What you need to know about ... need to know about risk scores to be competitive in the Medicare Advantage market. Medicare;Risk adjustment;Health ...

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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
  • Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea?
    Reimbursement: A Step in the Right Direction, or Another Flawed Idea? An overview of the issues behind reimbursing ... basis. The article presents the potential advantages offered by the proponents as well as the criticisms ...

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    • Authors: Todd Lueders
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Public Policy
  • Enterprise Risk Management:One size does not fit all
    measure of risk tolerance, particularly when evaluating a company relative to other insurers of similar ... size or type. The analysis shown in Exhibit 1 indicates that, as of Dec. 31, 2011, the industry has, ...

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    • Authors: Mark W Whitford
    • Date: Jan 2013
    • Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Health Watch
    • Topics: Annuities>Investment strategy - Annuities; Enterprise Risk Management>Portfolio management - ERM; Finance & Investments>Asset allocation; Finance & Investments>Asset liability management; Finance & Investments>Investments
  • Critical Illness Overview - 2015 Update
    Critical Illness Overview - 2015 Update Article Description * A review of Critical Illness ... Article Description * A review of Critical Illness products in the market and product design and pricing ...

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    • Authors: Rex Durington
    • Date: Dec 2015
    • Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional development; Health & Disability>Critical illness insurance
  • MACRA Ramifications to Medicare Supplement
    Medicare Supplement The article describes the changes to payment structures as of 1/1/2017 and their influence ... to Medicare Supplement that will be happening as of 1/1/2020. Claims processing;Medicare Supplement;Payment ...

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    • Authors: Marilyn Medved McGaffin
    • Date: Nov 2016
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Medicare Advantage Star Ratings: Expectations for New Organizations This ... article makes organizations entering the MA market aware of the star rating climate, as well as short- ...

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    • Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • Generic Dispensing Rates: Silver Bullet No More?
    Bullet No More? A summary of the driving forces behind, and effects of, the historical increases and future ... future expectations of Generic Dispensing Rates. Consumer-driven health plans=CDHP;Medicare;Prescription ...

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    • Authors: Troy Filipek
    • Date: May 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Behavioral economics; Economics>Health economics; Social Insurance>Medicare
  • Is there currently an underwriting cycle?
    underwriting cycle? An analysis of the 1999-2011 experience of all Blues plans of betweeen $1.8 and $3.8 billion ... there is any empirical evidence of an industry underwriting cycle. The analysis shows there is no such ...

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    • Authors: Mark Shaw
    • Date: Jan 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Systematic risk; Health & Disability>Health insurance