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  • Why so Many People Have Untreated Mental Health Conditions
    average there were 6.4 shootings per year from 2000 to 2006. From 2007 to 2013 there were 16.4 shootings ... Dmotovidlak@bhsonline.com. ENDNOTES 1 Ward, Brian W., Jeannine S. Schiller and Richard A. Goodman. 2014. Multiple ...

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    • Authors: Dawn Motovidlak
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models
  • Consumers to the Rescue? A Primer on HDHPs and HSAs
    rapid growth rate of per capita health costs in the U.S. has been a sore spot in economic forecasts for nearly ... organizations (HMOs) to today’s latest products, U.S. health policy has evolved and, as a key driving ...

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    • 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
  • The Future of the Brazilian Health Market
    2 Use of Embedded Values (Shareholder Value) by U.S. and European Insurance Companies by Allan D. Affleck ... revisions will have an impact on a $17 billion (U.S) industry encompassing 1,400 registered health carriers ...

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    • Authors: Ronald Poon-Affat
    • Date: Sep 1998
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: International News
    • Topics: Health & Disability>Health insurance; Public Policy
  • Current Medicare Issues and How the American Academy of Actuaries Is Involved
    risk adjusted in the future, starting in the year 2000. Some of the issues that we identified with respect ... spring 1999, and it's to be implemented by the year 2000. The issues that we added into our paper were actually ...

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    • Authors: Application Administrator, Thomas F Wildsmith, Donna C Novak, Jill Ann Stockard, John Trout
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
  • Is There a Future for HMOs?
    Moderator: KENNETH S. AVNER Panelists: THOMAS O. PYLE* HARRY L. SUTTON, JR. Recorder: KENNETH S. AVNER o Can ... changes to cope with future challenges MR. KENNETH S. AVNER: First, let me quickly introduce the panel ...

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    • Authors: Kenneth S Avner, Harry L Sutton, Thomas O Pyle
    • Date: Oct 1988
    • Competency: Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Navigating Cost-Sharing Reduction Subsidy Defunding
    of 73 percent, 87 percent, and 94 percent (see Table 1). Eligibility for each of the cost- sharing variants ... cost sharing was a major driver of enrollment.2 Table 1 Enrollment in CSR Plans by Eligible Income (2017) ...

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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
  • Creating Value through Integrated ERM for Health Care Insurers in Europe
    provider network agreements for a large PMI insurer (in 2000) was the subject of the Competition Commission ... 71 0 76 0 81 0 86 0 91 0 96 0 10 01 Days U til ity o f T ur ke y Surprise ! 5.2 Risk ...

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    • Authors: George C Orros
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Topics: Enterprise Risk Management>Financial management; Health & Disability>Health insurance
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Ratings: Expectations for New Organizations By Kelly S. Backes, Julia M. Friedman, Dustin J. Grzeskowiak ... Advantage Bid Rebate Federal Part C Revenue Table 1 2019 Quality Bonus Payment and Rebate Percentages ...

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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
  • Medicare Advantage risk scores – Are you competitive?
    Medicare ... Non-Duals Duals Av er ag e N um be r o f H CC s Member Category Average Number of HCCs Per Member ... 4 95 –9 9 Av er ag e N um be r o f H CC s Age Group Average Number of HCCs Per Member by Age ...

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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
  • Risk-Based Capital for Health Organizations
    health actuary for the Insurance Division of the U.S. Department of Commerce of Minnesota, St. Paul. ... factors in the PSO waiver with the MCO RBC (see Table 1 on page 5). As Julia mentioned, there are four ...

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    • Authors: Julia T Philips, Donna C Novak, Steven Wander
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Health insurance; Health & Disability>Health risks