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A Simple Proposal to Save the Individual ACA Market
From the time of its passage in March 2010 until U.S. House and Senate Republicans began their efforts ... condition of “none” for our modeling purposes. Table 1 provides a summary of the pre- existing condition ...- Authors: Joseph Slater, John Culkin
- Date: Feb 2018
- Competency: Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Public Policy
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Health Watch, June 2017, Issue 83
Health Section Events By Karen Shelton I S S U E 8 3 • J U N E 2 0 1 7 Health Watch 2 | JUNE ... States in 2010 2. $56 billion on sepsis care in U.S. hospitals every day in 2011 3. 30 percent projected ...- Authors: Society of Actuaries
- Date: Jun 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>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Medicaid Work Requirements: Enrollment Impact of Different Policies
b-fin-newsletter (accessed March 27, 2018). 2 U.S. Centers for Medicare and Medicaid Services. CMS ... 5-waiver-programs (accessed March 27, 2018). 4 U.S. Centers for Medicare and Medicaid Services. Medicaid ...- 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
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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 ...- 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
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Medicaid Expansion under the Affordable Care Act
demographics of the current Medicaid program. Table 1 illustrates the fiscal year 2009 enrollment distribution ... distribution by general eligibility groupings.2 Table 1: 2009 Medicaid enrollment by eligibility group ...- Authors: Robert Damler
- Date: Oct 2013
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Social Insurance>Medicaid
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Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance
conditions that if =M, then L =1/2 and vice versa. S is an “s”-shaped monotonically increasing function with ... if z=1. A special case for S is a step function with S(z)=0 if z <1, S(z) =1 if z >1 and if z=1 (Figure ...- Authors: D Wei
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health risks; Modeling & Statistical Methods; Technology & Applications>Analytics and informatics
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ASOPs, Anti- Selection, Affordability and ACA Altern
sellers; and several legal battles that reached the U.S. Supreme Court had been weathered. In the last year ... note 4; http://www.actuarialstandardsboard.org/table -contents -standards -library/ 22 Supra, note ...- Authors: Gregory Fann
- Date: Nov 2016
- Competency: Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
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Letter from the Editor
Letter from the Editor Letter from the Editor health care costs;Medicaid;mental health care;health ... normal weight babies. 2. The three largest causes of U.S. injury death responsible for more than 100,000 ...- Authors: Valerie Nelson
- Date: May 2016
- Competency: Communication>Written communication; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks
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Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements
Pricing Issues Resulting ... In n e R S o f T h e h e A lT h W A T C h A R T IC l e C o n T e S T 30 | ... decrease in quality. The insurer and ACO provider(s) should develop clear definitions of quality and ...- Authors: Anthony Rubiano
- Date: May 2012
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Health & Disability>Payment models; Public Policy
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Health Risk Assessments in a Protected Environment
Health Risk Assessments in a Protected Environment A discussion of permissible use and collection ... information. Recently, three federal agen- cies, the U.S. Departments of Treasury, Labor, and Health and ...- Authors: John C Cameron
- Date: May 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Ethical standards
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Public Policy; Technology & Applications>Analytics and informatics